Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › MADISON › MOORE VISION CENTER, PLLC

MOORE VISION CENTER, PLLC

NPI: 1043532153 · MADISON, WV 25130 · Optometrist · NPI assigned 02/17/2010

$22K
Total Medicaid Paid
479
Total Claims
434
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialMOORE, MARTY (OPTOMETRIST)
NPI Enumeration Date02/17/2010

Related Entities

Other providers sharing the same authorized official: MOORE, MARTY

ProviderCityStateTotal Paid
MOORE CHIROPRACTIC & WELLNESS OF WOOSTER, INC. WOOSTER OH $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 327 $15K
2019 126 $5K
2020 26 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 178 156 $12K
92015 Determination of refractive state 246 225 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 41 40 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14 13 $812.35