Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Fauria, Michael

Fauria, Michael was paid $87K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.

33Billing provider infoFAURIA, MICHAEL
FREMONT, CA 94539
33aNPI1841344322assigned 01/22/2007
33bProvider typeOptometrist
28Total paid$87K
24GClaims23,105
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#563 of 1,899
Median peer was paid$23K
This provider vs. median3.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
20182,779$9K
20192,784$10K
20202,644$10K
20213,617$13K
20224,277$17K
20234,520$18K
2024incomplete2,484$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 2,887 2,882 $20K
V2020 Frames, purchases 19% 4,804 4,801 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 4,306 4,301 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 2,134 2,133 $13K
92015 Determination of refractive state 9.6% 5,985 5,979 $8K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5.3% 1,148 1,141 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 891 863 $3K
92002 2.3% 273 273 $2K
92341 2.2% 322 322 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 355 350 $667.55

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.