Loading...
NPI 1639128689 · Dayton, OH · Pediatric Ophthalmology and Strabismus Specialist Physician Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Michael Bloom is a pediatric ophthalmology and strabismus specialist physician physician provider located in Dayton, Ohio. This profile covers 13 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Michael Bloom |
| Address | 1020 Woodman Dr Ste 105 |
| City | Dayton |
| State | OH |
| ZIP | 45432 |
| Taxonomy | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
| NPI Enumerated | May 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $50.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 30 | $350 | $10.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 120 | $60 | $7.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 70 | $100 | $7.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 90 | $80 | $7.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $230 | $4.9K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 10 | $340 | $4.7K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 60 | $40 | $2.6K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 30 | $40 | $1.4K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 20 | $60 | $1.1K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 40 | $20 | $940 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 496 | 530 | 210 | $110 | $92.8K |
| 66821 | 304 | 360 | 50 | $180 | $15.8K |
| 99214 | 10,761 | 20,010 | 100 | $70 | $11.7K |
| 67311 | 2 | 10 | 10 | $430 | $7.3K |
| 99213 | 6,381 | 20,000 | 70 | $50 | $6.6K |
| 92134 | 579 | 1,010 | 50 | $30 | $6.3K |
| 99204 | 1,217 | 8,330 | 30 | $100 | $4.4K |
| 92136 | 324 | 340 | 130 | $30 | $4.2K |
| 92083 | 576 | 950 | 50 | $40 | $3.3K |
| 99203 | 4,603 | 6,380 | 30 | $60 | $2.9K |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 4,360 | $80 | $361.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 4,830 | $60 | $309.1K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 11,200 | $20 | $223.9K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 4,280 | $40 | $179.6K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 4,670 | $20 | $79.3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6,110 | $10 | $67.2K |
| V2020 | Frames, purchases | 3,930 | $10 | $55K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 2,540 | $20 | $50.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 870 | $60 | $48K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1,910 | $10 | $23K |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 10 | 10 | 190 | $2,050 | $607.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 793 | 4,510 | 500 | $60 | $377.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,126 | 5,080 | 560 | $40 | $323.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 50 | 420 | 360 | $10 | $102.3K |
| V2020 | Frames, purchases | 120 | 920 | 580 | $10 | $92K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 7 | 40 | 630 | $20 | $79.6K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 52 | 1,410 | 120 | $70 | $65.7K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 6 | 40 | 130 | $20 | $65.1K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 298 | 1,690 | 120 | $50 | $60.1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 21 | 720 | 370 | $10 | $57.2K |
Showing 1–10 of 17
Other providers in the same ZIP code as Michael Bloom, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cornerstone Project, LLC | OH | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $21M |
| Recovery Street Central LLC | OH | Community/Behavioral Health Agency | $0 | $16.7M |
| Suresh Gupta Md Inc | OH | Specialist | $0 | $8.4M |
| Miami Valley Ambulatory Surgery Center Ltd | OH | Ambulatory Surgical Clinic/Center | $242.2K | $2.1M |
| Sherry Grooms | OH | Nurse Practitioner | $142.8K | $246.3K |
| Maneesh Mehan | OH | Ophthalmology Physician | $223.2K | $260 |
| Priyesh Mehta | OH | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $162.7K | $0 |
| Janette Froehlich | OH | Family Medicine Physician | $162.4K | $0 |
| Kathryn Balazs | OH | Dermatology Physician | $136.6K | $0 |
| Antonela Svetic | OH | Neurology Physician | $116.3K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.