Spencer, Michael

Spencer, Michael was paid $107K by Medicaid between Jul 2021 and Sep 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSPENCER, MICHAEL
GREENSBORO, NC 27408

33aNPI1922065689assigned 04/27/2006

33bProvider typePediatric Ophthalmology and Strabismus Specialist Physician Physician

28Total paid$107K

24GClaims2,065

24DCodes billed8

24AFirst – last monthJul 2021 – Sep 2022

Compared with peers

Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in North Carolina

Rank by total paid#2 of 5

Median peer was paid$72K

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
2021	1,149	$48K
2022	916	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	52%	825	659	$55K
S0621	Routine ophthalmological examination including refraction; established patient	28%	345	345	$30K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	163	92	$11K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.1%	54	54	$4K
S0620	Routine ophthalmological examination including refraction; new patient	3.9%	39	39	$4K
92060		1.2%	560	503	$1K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	34	34	$687.72
92370		<1%	45	45	$15.02

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.