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

Spencer, Michael was paid $383K by Medicaid between Jan 2019 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoSPENCER, MICHAEL
LEHIGH ACRES, FL 33971
33aNPI1912960022assigned 04/10/2006
33bProvider typeOptometrist
28Total paid$383K
24GClaims16,613
24DCodes billed15
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Florida

Rank by total paid#43 of 941
Median peer was paid$21K
This provider vs. median18×

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$5.0K$10K$15K2018201920202021202220232024
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
20192,197$47K
20201,922$30K
20212,452$42K
20223,394$80K
20234,133$114K
2024incomplete2,515$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 1,778 1,651 $141K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 33% 1,461 1,373 $126K
V2020 Frames, purchases 20% 2,843 2,575 $76K
V2784 Lens, polycarbonate or equal, any index, per lens 4.6% 1,768 1,036 $18K
92015 Determination of refractive state 2.5% 3,224 3,030 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 1.3% 2,346 2,124 $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 <1% 50 47 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 2,727 1,461 $2K
92341 <1% 41 41 $420.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 45 26 $352.35
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 165 106 $254.13
92250 <1% 14 12 $60.00
3 more codes
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens <1% 59 $12.18
S0621 Routine ophthalmological examination including refraction; established patient 0% 13 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 79 $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.