Michigan Ophthalmology Specialists, PLLC
Michigan Ophthalmology Specialists, PLLC was paid $12.10M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 46% of everything it billed.
33Billing provider infoMICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
LIVONIA, MI 48152
LIVONIA, MI 48152
33aNPI1942272364assigned 02/02/2006
33bProvider typeOptometrist
28Total paid$12.10M
24GClaims133,047
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#3 of 497
Median peer was paid$21K
This provider vs. median577×
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 | 15,939 | $1.42M | |
| 2019 | 15,592 | $1.44M | |
| 2020 | 14,378 | $1.32M | |
| 2021 | 20,734 | $1.91M | |
| 2022 | 23,357 | $2.19M | |
| 2023 | 22,728 | $2.06M | |
| 2024incomplete | 20,319 | $1.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 46% | 3,279 | 3,166 | $5.52M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.9% | 16,456 | 15,994 | $1.08M |
| 67028 | Intravitreal injection of a pharmacologic agent | 5.6% | 12,377 | 10,329 | $676K |
| J9035 | Injection, bevacizumab, 10 mg | 5.4% | 8,144 | 6,426 | $654K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 5.4% | 2,215 | 1,886 | $653K |
| 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 | 4.1% | 7,231 | 7,075 | $492K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 11,333 | 10,932 | $480K |
| 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 | 3.3% | 4,396 | 4,377 | $404K |
| 92235 | 3.3% | 6,418 | 6,370 | $400K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.8% | 4,113 | 4,094 | $340K |
| 92134 | 2.8% | 16,836 | 16,321 | $334K | |
| 92083 | 2.2% | 7,793 | 7,750 | $268K |
18 more codes
| 92250 | 2.0% | 11,040 | $246K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.5% | 4,232 | $185K |
| 92133 | 1.1% | 6,605 | $131K | |
| 92136 | <1% | 2,925 | $71K | |
| 67228 | <1% | 170 | $31K | |
| J3590 | Unclassified biologics | <1% | 548 | $26K |
| 76514 | <1% | 3,429 | $22K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 364 | $22K |
| 92020 | <1% | 1,355 | $20K | |
| 92025 | <1% | 823 | $17K | |
| 92015 | Determination of refractive state | <1% | 581 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 179 | $6K |
| 66821 | <1% | 28 | $4K | |
| 67145 | <1% | 28 | $4K | |
| 65855 | <1% | 15 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $942.04 |
| 83861 | <1% | 67 | $874.13 | |
| 92285 | <1% | 52 | $624.74 |
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.
From NPPES
Who's on the registration
Authorized officialKLEINFELDT, NOSSONAL (CEO)