Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mary H Espy Od PC

Mary H Espy Od PC was paid $879K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.

33Billing provider infoMARY H ESPY OD PC
FLINT, MI 48507
33aNPI1972816023assigned 07/19/2010
33bProvider typeOptometrist
28Total paid$879K
24GClaims33,058
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#36 of 497
Median peer was paid$21K
This provider vs. median42×

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$10K$20K2018201920202021202220232024
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
20185,807$151K
20196,117$139K
20204,795$128K
20214,103$114K
20224,671$128K
20234,013$117K
2024incomplete3,552$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28% 3,132 3,086 $247K
V2020 Frames, purchases 17% 4,936 4,809 $148K
92250 11% 4,218 4,168 $100K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 1,316 1,313 $93K
92340 Fitting of spectacles, except for aphakia; monofocal 9.9% 4,475 4,376 $87K
92015 Determination of refractive state 6.1% 4,878 4,822 $53K
92060 5.2% 1,348 1,336 $45K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.4% 3,993 2,418 $30K
92341 2.8% 1,176 1,126 $25K
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 1.7% 215 208 $15K
92083 1.6% 425 412 $14K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 1,342 864 $8K
13 more codes
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 623 $5K
92273 <1% 46 $3K
92283 <1% 60 $2K
92082 <1% 65 $1K
92133 <1% 58 $1K
92002 <1% 16 $505.91
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 $491.30
92370 <1% 15 $273.45
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 19 $202.73
76514 <1% 24 $148.28
V2756 Eye glass case <1% 580 $135.29
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 18 $121.14
V2784 Lens, polycarbonate or equal, any index, per lens 0% 68 $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.

From NPPES

Who's on the registration

Authorized officialESPY, MARY (PRESIDENT)