Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › KANSAS CITY › STATE LINE EYE CARE CENTER, PC

STATE LINE EYE CARE CENTER, PC

NPI: 1013142694 · KANSAS CITY, MO 64110 · Ophthalmology Physician · NPI assigned 05/26/2009

$2K
Total Medicaid Paid
90
Total Claims
90
Beneficiaries
3
Codes Billed
2021-11
First Month
2022-08
Last Month

Provider Details

Authorized OfficialYOHN, LILLIAM (LILY) (OFFICE MANAGER)
NPI Enumeration Date05/26/2009

Related Entities

Other providers sharing the same authorized official: YOHN, LILLIAM (LILY)

ProviderCityStateTotal Paid
STATE LINE EYE CARE CENTER, PC KANSAS CITY MO $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 40 $846.22
2022 50 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $709.40
92015 Determination of refractive state 64 64 $334.80