Michaels, Michael
Michaels, Michael was paid $543K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoMICHAELS, MICHAEL
WHEELING, IL 90090
WHEELING, IL 90090
33aNPI1902941974assigned 02/20/2007
33bProvider typeOptometrist
28Total paid$543K
24GClaims17,778
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#130 of 1,069
Median peer was paid$56K
This provider vs. median9.7×
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 | 1,340 | $40K | |
| 2019 | 2,076 | $65K | |
| 2020 | 3,145 | $100K | |
| 2021 | 2,786 | $88K | |
| 2022 | 2,093 | $65K | |
| 2023 | 2,597 | $79K | |
| 2024incomplete | 3,741 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 3,315 | 2,941 | $147K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 4,403 | 3,938 | $130K |
| 92015 | Determination of refractive state | 19% | 5,635 | 5,053 | $102K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 2,051 | 1,815 | $96K |
| V2025 | Deluxe frame | 3.4% | 623 | 564 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 255 | 219 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.5% | 298 | 237 | $13K |
| 92250 | 2.0% | 339 | 337 | $11K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 422 | 393 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 252 | 239 | $3K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 108 | 93 | $2K |
| V2020 | Frames, purchases | <1% | 61 | 61 | $658.80 |
1 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 16 | $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.