Eye Institute of South Eastern Michigan
Eye Institute of South Eastern Michigan was paid $1.24M by Medicaid between Feb 2018 and Dec 2024, across 27 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 12% of everything it billed.
33Billing provider infoEYE INSTITUTE OF SOUTH EASTERN MICHIGAN
RIVER ROUGE, MI 48218
RIVER ROUGE, MI 48218
33aNPI1831304765assigned 05/14/2007
33bProvider typeOptometrist
28Total paid$1.24M
24GClaims41,133
24DCodes billed27
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#29 of 497
Median peer was paid$21K
This provider vs. median59×
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 | 724 | $31K | |
| 2019 | 1,062 | $36K | |
| 2020 | 1,154 | $42K | |
| 2021 | 7,888 | $257K | |
| 2022 | 11,904 | $383K | |
| 2023 | 10,193 | $309K | |
| 2024incomplete | 8,208 | $182K |
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 | 12% | 2,087 | 2,065 | $154K |
| 92273 | 10% | 2,329 | 1,780 | $128K | |
| V2020 | Frames, purchases | 9.9% | 4,696 | 4,669 | $122K |
| 68761 | 9.7% | 2,665 | 1,057 | $120K | |
| 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 | 8.7% | 1,943 | 1,879 | $108K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.8% | 1,686 | 1,659 | $96K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.2% | 1,997 | 1,778 | $77K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.5% | 4,031 | 3,984 | $68K |
| 83861 | 4.1% | 2,468 | 1,504 | $51K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.8% | 1,289 | 1,286 | $48K |
| 92083 | 3.7% | 1,564 | 1,420 | $45K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 908 | 841 | $33K |
15 more codes
| 92015 | Determination of refractive state | 2.3% | 2,724 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 3,109 | $25K |
| 92341 | 1.8% | 1,170 | $23K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.6% | 535 | $20K |
| 92134 | 1.5% | 1,085 | $19K | |
| 92250 | 1.5% | 1,107 | $18K | |
| 95930 | 1.4% | 544 | $18K | |
| 92133 | <1% | 715 | $11K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,064 | $11K |
| 92020 | <1% | 638 | $8K | |
| 92275 | <1% | 49 | $4K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 585 | $4K |
| 76514 | <1% | 76 | $402.24 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 37 | $134.33 |
| 99072 | 0% | 32 | $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 officialSHAHEEN, WILLIAM (PRESIDENT)