Mcavoy, Michael
Mcavoy, Michael was paid $191K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 34% of everything it billed.
33Billing provider infoMCAVOY, MICHAEL
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1851471577assigned 10/17/2006
33bProvider typeOptometrist
28Total paid$191K
24GClaims6,469
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#149 of 340
Median peer was paid$125K
This provider vs. median1.5×
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 | 894 | $28K | |
| 2019 | 883 | $28K | |
| 2020 | 661 | $18K | |
| 2021 | 1,053 | $28K | |
| 2022 | 893 | $24K | |
| 2023 | 1,111 | $30K | |
| 2024incomplete | 974 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 34% | 2,380 | 1,773 | $65K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,229 | 953 | $48K |
| V2020 | Frames, purchases | 16% | 1,069 | 1,029 | $30K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 869 | 826 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.5% | 415 | 395 | $12K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.9% | 341 | 326 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.7% | 138 | 105 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 28 | 25 | $684.13 |
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.