Physician
Lim, Michael
Lim, Michael was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoLIM, MICHAEL
CARLSBAD, NM 88220
CARLSBAD, NM 88220
33aNPI1699781138assigned 08/01/2006
33bProvider typeOphthalmology Physician
28Total paid$1.56M
24GClaims36,246
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New Mexico
Rank by total paid#2 of 15
Median peer was paid$511K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 5,979 | $183K | |
| 2019 | 4,764 | $131K | |
| 2020 | 2,929 | $79K | |
| 2021 | 3,846 | $117K | |
| 2022 | 4,814 | $180K | |
| 2023 | 6,867 | $359K | |
| 2024incomplete | 7,047 | $513K |
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 | 34% | 5,109 | 4,972 | $527K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 3,691 | 3,301 | $260K |
| V2025 | Deluxe frame | 11% | 2,582 | 2,576 | $179K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.6% | 6,836 | 6,736 | $135K |
| V2020 | Frames, purchases | 8.5% | 4,911 | 4,803 | $132K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.3% | 2,449 | 2,418 | $98K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.1% | 2,601 | 2,551 | $80K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.4% | 1,237 | 1,116 | $69K |
| 92015 | Determination of refractive state | 2.0% | 5,233 | 5,107 | $31K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 319 | 318 | $11K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 193 | 184 | $10K |
| 92370 | <1% | 527 | 526 | $8K |
6 more codes
| 92341 | <1% | 232 | $8K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 174 | $6K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 57 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 67 | $1K |
| V2299 | Specialty bifocal (by report) | <1% | 16 | $1K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 12 | $464.75 |
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.