Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DUMAS VISION SOURCE, PLLC

NPI: 1013156694 · DUMAS, TX 79029 · Optometrist · NPI assigned 02/05/2009

$62K
Total Medicaid Paid
1,336
Total Claims
1,304
Beneficiaries
4
Codes Billed
2020-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMOORE, TORY (OWNER)
NPI Enumeration Date02/05/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 77 $4K
2021 451 $20K
2022 432 $20K
2023 253 $13K
2024 123 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 554 537 $37K
V2020 Frames, purchases 493 483 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 276 271 $8K
S0620 Routine ophthalmological examination including refraction; new patient 13 13 $818.50