Medicaid Provider Spending

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

SIDNEY VISION CLINIC LLC

NPI: 1073739470 · SIDNEY, NE 69162 · Corneal and Contact Management Optometrist · NPI assigned 04/17/2007

$14K
Total Medicaid Paid
358
Total Claims
349
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialCOOK, JEFFREY (PARTNER)
NPI Enumeration Date04/17/2007

Related Entities

Other providers sharing the same authorized official: COOK, JEFFREY

ProviderCityStateTotal Paid
COOK EYE CENTER MERIDIAN MS $99K
COOK CHIROPRACTIC INC KANNAPOLIS NC $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 250 $10K
2019 108 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 224 216 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26 26 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 14 14 $1K
V2020 Frames, purchases 26 26 $925.94
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 13 $532.07
92015 Determination of refractive state 16 15 $213.20
V2756 Eye glass case 39 39 $43.29