Cove, Michelle
Cove, Michelle was paid $12K by Medicaid between Apr 2021 and Aug 2023, across 3 billing codes. Its largest line is V2020, Frames, purchases — 77% of everything it billed.
33Billing provider infoCOVE, MICHELLE
LATROBE, PA 15650
LATROBE, PA 15650
33aNPI1881905867assigned 06/24/2010
33bProvider typeOptometrist
28Total paid$12K
24GClaims212
24DCodes billed3
24AFirst – last monthApr 2021 – Aug 2023
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#563 of 983
Median peer was paid$20K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 57 | $4K | |
| 2022 | 53 | $3K | |
| 2023 | 102 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 77% | 123 | 120 | $10K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 20% | 76 | 73 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.8% | 13 | 13 | $470.00 |
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.