Cole, Michael
Cole, Michael was paid $10K by Medicaid between Nov 2019 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.
33Billing provider infoCOLE, MICHAEL
LOGAN, UT 84321
LOGAN, UT 84321
33aNPI1689970667assigned 02/08/2011
33bProvider typeOptometrist
28Total paid$10K
24GClaims879
24DCodes billed4
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#59 of 130
Median peer was paid$6K
This provider vs. median1.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 31 | $2K | |
| 2020 | 31 | $2K | |
| 2022 | 100 | $2K | |
| 2023 | 355 | $3K | |
| 2024incomplete | 362 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 65% | 164 | 158 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 108 | 102 | $2K |
| 92015 | Determination of refractive state | 8.0% | 555 | 521 | $769.51 |
| V2020 | Frames, purchases | 1.3% | 52 | 48 | $127.49 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.