Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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S9986

Not medically necessary service (patient is aware that service not medically necessary)

Medicaid paid $184K on code S9986 from 2018 through 2024, to 104 providers — the #5,511 code in the file by dollars. 57% of it was billed in Colorado.

28Total paid$184K
24GClaims25,298
Paid per claim line$7.29
33Providers billing it104
Box 32 · Location

Where S9986 is billed

  1. COColorado
    $105K
  2. AZArizona
    $75K
  3. TNTennessee
    $1.9K
  4. MNMinnesota
    $1.1K
  5. WYWyoming
    $975
  6. MAMassachusetts
    $504
  7. FLFlorida
    $75
  8. NJNew Jersey
    $7
  9. RIRhode Island
    $0
  10. ALAlabama
    $0
  11. CACalifornia
    $0
  12. GAGeorgia
    $0

The largest of 26 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing S9986

#ProviderLocationClaimsPaid on S9986
1 Tru Community Care Lafayette, CO 837 $105K
2 Empact - Suicide Prevention Center Tempe, AZ 2,138 $75K
3 Red Wing Vision Care LLC Red Wing, MN 145 $1K
4 Myeyedr Optometry of Tennessee LLC Jackson, TN 686 $1K
5 Heart Mountain Eyecare Group Powell, WY 179 $975.00
6 Goswick, Christopher Northborough, MA 32 $448.00
7 Duncan, Kelly Jackson, TN 198 $384.00
8 Myeyedr Optometry of Tennessee, LLC Dyersburg, TN 58 $192.00
9 Myeyedr Optometry of Tennessee, LLC Humboldt, TN 125 $102.40
10 Myeyedr Optometry of Tennessee, LLC Ripley, TN 32 $76.80
11 Premier Eye Care of Florida LLC Coral Gables, FL 758 $75.33
12 Goswick Eye LLC Northborough, MA 12 $56.00
13 Bacigalupo, William Dyersburg, TN 12 $51.20
14 Charles M Cummins Od PA Union, NJ 700 $7.22
15 Gateway Healthcare, INC. Pawtucket, RI 613 $0.18
16 Gateway Healthcare, INC Johnston, RI 556 $0.01
17 Bahremand, Mojde Alexandria, VA 679 $0.00
18 Aeg Texas Professional PLLC Kerrville, TX 1,647 $0.00
19 Juett, David New Braunfels, TX 41 $0.00
20 Empact-Suicide Prevention Center Tempe, AZ 552 $0.00
21 Fodor, Carlo Sebastian, FL 945 $0.00
22 Bedford Vision and Eye Clinic PLLC Shelbyville, TN 33 $0.00
23 Voans Senior Community Care of Colorado, INC. Montrose, CO 1,039 $0.00
24 Thrive Behavioral Health, INC. Warwick, RI 582 $0.00
25 Integrated Services for Behavioral Health Nelsonville, OH 69 $0.00
26 Eagle Eyecare PLLC Antioch, TN 15 $0.00
27 Creed, Robert Klamath Falls, OR 64 $0.00
28 Calderon Ramirez, Luis Kissimmee, FL 13 $0.00
29 Abraham, Steven Germantown, MD 36 $0.00
30 Archdale Optometry Corporation PLLC Colorado Springs, CO 82 $0.00
31 Iml Island Enterprises INC Kailua Kona, HI 37 $0.00
32 Lamb, Shannon Coppell, TX 12 $0.00
33 The Providence Center INC Providence, RI 13 $0.00
34 Hermitage Eye Care PLLC Hermitage, TN 249 $0.00
35 Ruparel, Shriya Fort Leonard Wood, MO 13 $0.00
36 Thoele, Jonathon Mount Sterling, IL 15 $0.00
37 Leahy, Timothy Pittsfield, IL 35 $0.00
38 Lock, Michael West Des Moines, IA 84 $0.00
39 DR George T Roberts Optometrist PLLC Sidney, NY 68 $0.00
40 Kaziyev, Rokhel Corona, NY 14 $0.00
41 Zoom Eyecare PLLC Victoria, TX 63 $0.00
42 Gandhi, Tarun Terrell, TX 35 $0.00
43 Newport County Community Mental Health Center Middletown, RI 275 $0.00
44 Charles M Cummins, Od, PA Pompton Plains, NJ 80 $0.00
45 Community Care Alliance Woonsocket, RI 307 $0.00
46 Fishman, Allen Rego Park, NY 50 $0.00
47 Gateway Healthcare, INC Charlestown, RI 371 $0.00
48 Agnes L Palys Od PC San Antonio, TX 140 $0.00
49 Community Care Alliance Woonsocket, RI 252 $0.00
50 Skinner, Judith Clifton, NJ 14 $0.00
51 Nickel, Jolie Clifton, NJ 15 $0.00
52 Ward, Tasha San Antonio, TX 53 $0.00
53 Jones, Erin Decatur, AL 36 $0.00
54 Alaquinez, Jacklyn Floresville, TX 15 $0.00
55 Dennington Collab Fair Oaks Ranch, TX 17 $0.00
56 Zuercher, Alexandra San Antonio, TX 15 $0.00
57 Bowie Med Optometry, LLC Bowie, MD 12 $0.00
58 Hopewest Grand Junction, CO 12 $0.00
59 Winrock Vision INC Denver, CO 14 $0.00
60 Myeyedr Optometry of Tennessee, LLC Chattanooga, TN 16 $0.00
61 Campana, Ronald North Huntingdon, PA 12 $0.00
62 Roberts & Roberts Vestal, NY 13 $0.00
63 Cakanac, Randy North Huntingdon, PA 23 $0.00
64 Aeg Ohio Professional PC Solon, OH 19 $0.00
65 Allen J. Fishman, M.D., P.C. Rego Park, NY 3,279 $0.00
66 North East Medical Services San Francisco, CA 262 $0.00
67 Henry, Noel Kissimmee, FL 492 $0.00
68 Piersol, James Erie, PA 361 $0.00
69 Tyrrell, Nicole Fort Myers, FL 13 $0.00
70 Norwood Family Eye Care, LLC Jackson, TN 26 $0.00
71 Rocky Mountain Health Care Services Colorado Springs, CO 174 $0.00
72 MRS Hilo LLC Hilo, HI 76 $0.00
73 Palys, Agnes San Antonio, TX 16 $0.00
74 Voans Senior Community Care of Colorado, INC. Eckert, CO 385 $0.00
75 Buena Vista Eyeland INC Sebastian, FL 222 $0.00
76 Brokea INC. Maple Grove, MN 28 $0.00
77 Anderson Lindsay, Angela Avon Park, FL 96 $0.00
78 Family Service of Rhode Island, INC. Providence, RI 29 $0.00
79 Charles M. Cummins, Od, PA Shrewsbury, NJ 709 $0.00
80 Charles M Cummins, Od, PA Rockaway, NJ 164 $0.00
81 Charles M. Cummins Od PA Ewing, NJ 266 $0.00
82 Jewish Family & Children's Service Phoenix, AZ 25 $0.00
83 Charles M Cummins Od PA Clifton, NJ 160 $0.00
84 Talbert House, INC Cincinnati, OH 228 $0.00
85 Charles M Cummins Od PA Neptune, NJ 224 $0.00
86 Kevin Snipes Od & Associates PSC Louisville, KY 42 $0.00
87 Charles M Cummins Od PA Succassunna, NJ 78 $0.00
88 Russell, Robyn Wauchula, FL 51 $0.00
89 The Providence Center Providence, RI 1,790 $0.00
90 Wally Kojima Od LLC Kailua Kona, HI 42 $0.00
91 West Point Optical Group Novi, MI 12 $0.00
92 Bennett, Bridget Woonsocket, RI 479 $0.00
93 SVS Vision INC Mount Clemens, MI 14 $0.00
94 DR Claffie and Associates Florence, KY 27 $0.00
95 Carusone, Frank Knoxville, TN 13 $0.00
96 Gaetano, H Youngstown, OH 37 $0.00
97 Madras Vision Source PC Madras, OR 17 $0.00
98 Myeyedr Optometry of Virginia, PLLC Culpeper, VA 40 $0.00
99 Northern Virginia Eye Associates, PC Woodbridge, VA 13 $0.00
100 Elgabroni, Ahmed Newark, NJ 13 $0.00