Pingree, Michael

Pingree, Michael was paid $26K by Medicaid between Jan 2018 and Feb 2021, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 66% of everything it billed.

33Billing provider infoPINGREE, MICHAEL
WEST VALLEY CITY, UT 84120

33aNPI1982716031assigned 08/31/2006

33bProvider typeOphthalmology Physician

28Total paid$26K

24GClaims991

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Ophthalmology Physician providers in Utah

Rank by total paid#18 of 62

Median peer was paid$7K

This provider vs. median3.9×

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	423	$11K
2019	275	$8K
2020	233	$5K
2021	60	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	66%	182	168	$17K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	76	71	$5K
92015	Determination of refractive state	15%	733	690	$4K

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.