Mcgrath, Michael
Mcgrath, Michael was paid $11K by Medicaid between Dec 2020 and Nov 2023, across 4 billing codes. Its largest line is V2020, Frames, purchases — 50% of everything it billed.
33Billing provider infoMCGRATH, MICHAEL
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1942439013assigned 07/09/2009
33bProvider typeOptometrist
28Total paid$11K
24GClaims320
24DCodes billed4
24AFirst – last monthDec 2020 – Nov 2023
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#587 of 983
Median peer was paid$20K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 42 | $2K | |
| 2021 | 153 | $6K | |
| 2022 | 55 | $931.40 | |
| 2023 | 70 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 50% | 53 | 53 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 152 | 151 | $4K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 6.1% | 13 | 13 | $650.00 |
| 92015 | Determination of refractive state | 3.5% | 102 | 101 | $371.25 |
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.