Todd, Michael
Todd, Michael was paid $87K by Medicaid between Jan 2018 and Sep 2022, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoTODD, MICHAEL
ABSECON, NJ 08201
ABSECON, NJ 08201
33aNPI1831133628assigned 06/15/2006
33bProvider typeOptometrist
28Total paid$87K
24GClaims12,836
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#105 of 599
Median peer was paid$2K
This provider vs. median48×
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 | 2,160 | $15K | |
| 2019 | 2,507 | $23K | |
| 2020 | 2,288 | $17K | |
| 2021 | 2,977 | $17K | |
| 2022 | 2,904 | $15K |
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 | 49% | 3,205 | 3,201 | $43K |
| V2020 | Frames, purchases | 13% | 2,660 | 2,627 | $12K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 2,728 | 1,645 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 191 | 190 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.8% | 1,677 | 961 | $5K |
| 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 | 5.6% | 108 | 108 | $5K |
| 92250 | 4.4% | 109 | 109 | $4K | |
| 92015 | Determination of refractive state | 3.8% | 1,245 | 1,244 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 176 | 176 | $486.80 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 68 | 37 | $208.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 388 | 203 | $170.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 57 | 57 | $0.00 |
2 more codes
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.