Near, Stephen
Near, Stephen was paid $56K by Medicaid between Jan 2018 and Jul 2019, across 9 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 29% of everything it billed.
33Billing provider infoNEAR, STEPHEN
SAINT LOUIS, MI 48880
SAINT LOUIS, MI 48880
33aNPI1811087745assigned 10/13/2006
33bProvider typeOptometrist
28Total paid$56K
24GClaims1,817
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#190 of 497
Median peer was paid$21K
This provider vs. median2.6×
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 | 1,026 | $32K | |
| 2019 | 791 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 29% | 339 | 336 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 524 | 516 | $10K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 216 | 216 | $10K |
| V2020 | Frames, purchases | 18% | 317 | 314 | $10K |
| 92341 | 8.8% | 215 | 213 | $5K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 123 | 122 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 43 | 42 | $1K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | 13 | $306.02 |
| 92015 | Determination of refractive state | <1% | 27 | 27 | $266.16 |
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.