Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Rapids › NPI 1801977202

Blue Sky Vision Eye Care, P.C

Blue Sky Vision Eye Care, P.C was paid $9.34M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 20% of everything it billed.

33Billing provider infoBLUE SKY VISION EYE CARE, P.C
GRAND RAPIDS, MI 49525
33aNPI1801977202assigned 10/18/2006
33bProvider typeOptometrist
28Total paid$9.34M
24GClaims200,654
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#4 of 497
Median peer was paid$21K
This provider vs. median445×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201821,715$833K
201930,185$1.17M
202025,708$1.14M
202132,341$1.41M
202231,563$1.64M
202331,832$1.77M
2024incomplete27,310$1.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 20% 1,490 1,419 $1.86M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 29,600 29,162 $1.63M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 20,346 20,191 $1.42M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 6.6% 2,779 2,527 $613K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 12,001 11,272 $487K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5.2% 9,561 9,145 $486K
92015 Determination of refractive state 4.9% 50,778 50,218 $458K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.7% 4,828 4,730 $346K
S0620 Routine ophthalmological examination including refraction; new patient 3.1% 6,922 6,876 $291K
S0621 Routine ophthalmological examination including refraction; established patient 2.5% 5,582 5,546 $237K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.2% 5,237 4,867 $205K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 3,575 3,519 $200K
34 more codes
67028 Intravitreal injection of a pharmacologic agent 2.0% 4,119 $182K
92134 1.7% 9,194 $156K
V2020 Frames, purchases 1.3% 5,133 $118K
92083 1.2% 3,908 $114K
92060 <1% 2,510 $88K
92133 <1% 4,171 $72K
J9035 Injection, bevacizumab, 10 mg <1% 1,137 $67K
92002 <1% 1,470 $63K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 3,902 $61K
92136 <1% 3,088 $59K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 2,697 $29K
92250 <1% 1,328 $23K
J3590 Unclassified biologics <1% 239 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 587 $15K
92341 <1% 666 $12K
66821 <1% 58 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 678 $6K
92310 <1% 344 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 428 $5K
92020 <1% 336 $4K
76514 <1% 672 $4K
92235 <1% 55 $4K
67228 <1% 14 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 206 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 39 $2K
92285 <1% 99 $905.23
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 35 $453.39
V2784 Lens, polycarbonate or equal, any index, per lens <1% 594 $441.80
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 28 $133.33
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% 13 $103.25
V2755 U-v lens, per lens <1% 109 $7.44
V2760 Scratch resistant coating, per lens 0% 38 $0.00
2022F 0% 33 $0.00
2023F 0% 27 $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.

From NPPES

Who's on the registration

Authorized officialGIRA, JOSEPH (CMO)
Same official

Other billing entities under GIRA, JOSEPH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.