Case, Michael
Case, Michael was paid $97K by Medicaid between Jan 2018 and Sep 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoCASE, MICHAEL
BENTON, KY 42025
BENTON, KY 42025
33aNPI1730521451assigned 07/23/2013
33bProvider typeOptometrist
28Total paid$97K
24GClaims2,160
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#385 of 683
Median peer was paid$123K
This provider vs. median0.8×
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 | 747 | $29K | |
| 2019 | 518 | $18K | |
| 2020 | 895 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 67% | 1,115 | 1,077 | $64K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 283 | 261 | $18K |
| V2020 | Frames, purchases | 6.3% | 228 | 223 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.1% | 194 | 190 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 130 | 113 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 96 | 95 | $435.50 |
| 92015 | Determination of refractive state | <1% | 114 | 111 | $161.76 |
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.