Medicaid Provider Spending

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

HOMETOWN OPHTHALMOLOGY LLC

NPI: 1053990531 · EVANSVILLE, IN 47714 · Ophthalmologic Surgery Clinic/Center · NPI assigned 04/03/2021

$17K
Total Medicaid Paid
601
Total Claims
480
Beneficiaries
4
Codes Billed
2022-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPRIMUS, SALLY (OWNER, PROVIDER)
NPI Enumeration Date04/03/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 127 $4K
2023 266 $7K
2024 208 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 280 220 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88 68 $3K
92015 Determination of refractive state 218 180 $2K
92134 15 12 $199.77