Medicaid Provider Spending

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

ROSEDALE VISION

NPI: 1114437233 · DETROIT, MI 48223 · Low Vision Rehabilitation Optometrist · NPI assigned 10/03/2017

$3K
Total Medicaid Paid
90
Total Claims
90
Beneficiaries
3
Codes Billed
2018-06
First Month
2019-01
Last Month

Provider Details

Authorized OfficialDAVIS, ROBY (CEO)
NPI Enumeration Date10/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $2K
2019 14 $654.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 47 47 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 31 31 $620.31
92015 Determination of refractive state 12 12 $0.00