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

Gilbreath, Michael was paid $159K by Medicaid between Jun 2018 and Dec 2024, across 11 billing codes. Its largest line is 92002, — 28% of everything it billed.

33Billing provider infoGILBREATH, MICHAEL
KEARNEY, NE 68847
33aNPI1942438650assigned 07/01/2009
33bProvider typeOptometrist
28Total paid$159K
24GClaims5,447
24DCodes billed11
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Nebraska

Rank by total paid#53 of 178
Median peer was paid$51K
This provider vs. median3.1×

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$10K2018201920202021202220232024
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
2018182$5K
2019483$15K
2020227$7K
20211,184$33K
20221,003$29K
20231,887$50K
2024incomplete481$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92002 28% 1,048 1,020 $45K
92015 Determination of refractive state 23% 2,261 2,124 $36K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 16% 836 765 $26K
92340 Fitting of spectacles, except for aphakia; monofocal 9.8% 274 257 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.5% 194 194 $15K
V2020 Frames, purchases 7.6% 280 261 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.6% 64 64 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.5% 158 147 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 50 42 $899.60
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $352.14
V2756 Eye glass case <1% 270 251 $299.48

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.