Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rosedale Vision

Rosedale Vision was paid $3K by Medicaid between Jun 2018 and Jan 2019, across 3 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 78% of everything it billed.

33Billing provider infoROSEDALE VISION
DETROIT, MI 48223
33aNPI1114437233assigned 10/03/2017
28Total paid$3K
24GClaims90
24DCodes billed3
24AFirst – last monthJun 2018 – Jan 2019
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201876$2K
201914$654.10
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 78% 47 47 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 22% 31 31 $620.31
92015 Determination of refractive state 0% 12 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDAVIS, ROBY (CEO)