Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › COLDWATER › MICHAEL L SUSSEX OD PC

MICHAEL L SUSSEX OD PC

NPI: 1104864313 · COLDWATER, MI 49036 · Eyewear Supplier · NPI assigned 06/02/2006

$292K
Total Medicaid Paid
12,587
Total Claims
12,322
Beneficiaries
22
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialSUSSEX, MICHAEL (PRESIDENT)
Parent OrganizationMICHAEL L SUSSEX OD PC
NPI Enumeration Date06/02/2006

Related Entities

Other providers sharing the same authorized official: SUSSEX, MICHAEL

ProviderCityStateTotal Paid
THREE RIVERS EYECARE PC THREE RIVERS MI $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,343 $287K
2019 244 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,153 2,093 $66K
S0621 Routine ophthalmological examination including refraction; established patient 930 916 $45K
S0620 Routine ophthalmological examination including refraction; new patient 803 791 $36K
92340 Fitting of spectacles, except for aphakia; monofocal 1,814 1,767 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,182 1,156 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 281 275 $16K
92341 518 509 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 116 113 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 175 174 $8K
V2784 Lens, polycarbonate or equal, any index, per lens 1,711 1,673 $8K
92015 Determination of refractive state 685 674 $7K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 309 302 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 423 409 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 139 134 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72 70 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
92250 51 50 $1K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 66 66 $988.89
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 29 29 $337.30
V2715 Prism, per lens 59 58 $302.20
V2756 Eye glass case 396 392 $88.56
1036F 661 657 $0.00