MICHAEL LUM, O.D.
4043 SPRING MOUNTAIN RD., LAS VEGAS, NV 89102
NPI Number
1306383138
Practice location · View on Google Maps
Total Medicaid Payments
$468,721
+158% vs specialty average
Patients Seen
18,870
Total Claims
19,149
$ Per Patient
$25
Specialty avg: $38
Specialty Rank
#32 of 377
Optometrist providers in Nevada
Peer Average
$181,896
Average total for Optometrist
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $26,566 | |
| 2019 | $43,548 | |
| 2020 | $51,023 | |
| 2021 | $107,212 | |
| 2022 | $91,635 | |
| 2023 | $79,990 | |
| 2024 | $68,747 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 3,082 | $141,290 | 30.1% | $46 |
| 92014 | Eye exam or vision test | 3,133 | $131,442 | 28.0% | $42 |
| 92004 | Eye exam or vision test | 1,725 | $74,512 | 15.9% | $43 |
| 92340 | Eye exam or vision test | 2,887 | $43,050 | 9.2% | $15 |
| V2020 | Frames, purchases | 1,008 | $34,483 | 7.4% | $34 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,168 | $26,827 | 5.7% | $23 |
| 92015 | Eye exam or vision test | 2,770 | $11,478 | 2.4% | $4 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2,266 | $5,280 | 1.1% | $2 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1,046 | $270 | 0.1% | $0 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 64 | $90 | 0.0% | $1 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.