Hay, Michael
Hay, Michael was paid $135K by Medicaid between Jan 2022 and Nov 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoHAY, MICHAEL
MIDDLEBURG, FL 32068
MIDDLEBURG, FL 32068
33aNPI1770556888assigned 02/09/2006
33bProvider typeOptometrist
28Total paid$135K
24GClaims6,545
24DCodes billed9
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#186 of 941
Median peer was paid$21K
This provider vs. median6.3×
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 | |
|---|---|---|---|
| 2022 | 2,259 | $44K | |
| 2023 | 2,627 | $57K | |
| 2024incomplete | 1,659 | $34K |
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 | 33% | 822 | 727 | $44K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 711 | 656 | $40K |
| V2020 | Frames, purchases | 29% | 1,186 | 1,125 | $39K |
| 92015 | Determination of refractive state | 3.5% | 1,633 | 1,469 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.4% | 1,073 | 1,013 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.3% | 1,064 | 1,004 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | 13 | $338.18 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 25 | 24 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 18 | 17 | $0.00 |
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.