Hayes, Michael
Hayes, Michael was paid $65K by Medicaid between Jan 2018 and Aug 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
33Billing provider infoHAYES, MICHAEL
BENTON, KY 42025
BENTON, KY 42025
33aNPI1801839477assigned 06/13/2006
33bProvider typeOptometrist
28Total paid$65K
24GClaims986
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#429 of 683
Median peer was paid$123K
This provider vs. median0.5×
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 | 202 | $12K | |
| 2019 | 128 | $8K | |
| 2020 | 120 | $8K | |
| 2021 | 122 | $8K | |
| 2022 | 188 | $14K | |
| 2023 | 178 | $13K | |
| 2024incomplete | 48 | $3K |
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 | 58% | 593 | 580 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 42% | 378 | 370 | $27K |
| 92015 | Determination of refractive state | <1% | 15 | 15 | $108.00 |
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.