Montella, Anthony
Montella, Anthony was paid $117K by Medicaid between Jan 2018 and Apr 2022, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 52% of everything it billed.
33Billing provider infoMONTELLA, ANTHONY
EASTPOINTE, MI 48021
EASTPOINTE, MI 48021
33aNPI1710079793assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$117K
24GClaims3,601
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#140 of 497
Median peer was paid$21K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2018 | 1,025 | $30K | |
| 2019 | 977 | $33K | |
| 2020 | 776 | $26K | |
| 2021 | 649 | $23K | |
| 2022 | 174 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 52% | 1,247 | 1,242 | $60K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 22% | 1,255 | 1,241 | $26K |
| V2020 | Frames, purchases | 14% | 503 | 501 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 273 | 262 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 101 | 100 | $2K |
| 92342 | <1% | 38 | 38 | $986.26 | |
| 92015 | Determination of refractive state | <1% | 147 | 147 | $388.15 |
| V2715 | Prism, per lens | <1% | 12 | 12 | $58.65 |
| V2756 | Eye glass case | <1% | 25 | 25 | $6.75 |
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.