Wallerich, Michael
Wallerich, Michael was paid $166.92 by Medicaid between Nov 2022 and Nov 2022, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoWALLERICH, MICHAEL
RICHFIELD, MN 55423
RICHFIELD, MN 55423
33aNPI1881135093assigned 03/20/2017
33bProvider typePediatric Optometrist
28Total paid$166.92
24GClaims12
24DCodes billed1
24AFirst – last monthNov 2022 – Nov 2022
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 | |
|---|---|---|---|
| 2022 | 12 | $166.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 12 | 12 | $166.92 |
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.