Medicaid Provider Spending

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

DONAHUE, SEAN

NPI: 1083706402 · NASHVILLE, TN 37232 · Ophthalmology Physician · NPI assigned 09/30/2006

$157K
Total Medicaid Paid
3,112
Total Claims
2,842
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,515 $83K
2019 795 $42K
2020 802 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 679 623 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 411 390 $32K
99243 223 218 $24K
92060 434 393 $15K
92015 Determination of refractive state 815 786 $14K
67311 12 12 $8K
92226 134 74 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 91 87 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 69 62 $7K
92201 176 142 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 32 31 $1K
99232 Subsequent hospital care, per day, moderate complexity 14 12 $1K
92225 22 12 $515.60