Medicaid Provider Spending

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

CLARKSON OPTOMETRY MIDWEST INC

NPI: 1114475449 · BENTON, KY 42025 · Optometrist · NPI assigned 09/15/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WACHTER, JAMES controls 20+ related entities in our dataset. Read more

$394K
Total Medicaid Paid
15,761
Total Claims
13,538
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWACHTER, JAMES (CPO)
NPI Enumeration Date09/15/2016

Related Entities

Other providers sharing the same authorized official: WACHTER, JAMES

ProviderCityStateTotal Paid
CLARKSON OPTOMETRY MIDWEST INC LEBANON KY $2.12M
EYECARE ASSOCIATES, INC. HUNTSVILLE AL $564K
EYECARE ASSOCIATES, INC. PRATTVILLE AL $467K
EYECARE ASSOCIATES, INC. SCOTTSBORO AL $395K
EYECARE ASSOCIATES, INC. MADISON AL $300K
EYECARE ASSOCIATES, INC. ARAB AL $242K
EYECARE ASSOCIATES, INC. MOODY AL $206K
EYECARE ASSOCIATES, INC. BIRMINGHAM AL $114K
EYECARE ASSOCIATES, INC. DECATUR AL $99K
EYECARE ASSOCIATES, INC. BIRMINGHAM AL $96K
EYECARE ASSOCIATES, INC. CLANTON AL $94K
CLARKSON OPTOMETRY MIDWEST INC MANSFIELD OH $77K
EYECARE ASSOCIATES, INC. NORTHPORT AL $74K
EYECARE ASSOCIATES, INC. SOUTHSIDE AL $68K
CLARKSON OPTOMETRY MIDWEST INC. LOUISVILLE KY $31K
EYECARE ASSOCIATES, INC. MOBILE AL $23K
BENNETT OPTOMETRY LLC ANN ARBOR MI $16K
CLARKSON OPTOMETRY MIDWEST INC. ELIZABETHTOWN KY $13K
CLARKSON OPTOMETRY MIDWEST INC CLARKSVILLE IN $10K
CLARKSON OPTOMETRY MIDWEST INC. LOUISVILLE KY $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,122 $26K
2019 1,022 $24K
2020 699 $18K
2021 5,600 $121K
2022 2,396 $74K
2023 2,930 $83K
2024 1,992 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,370 3,021 $172K
92015 Determination of refractive state 8,145 6,963 $106K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,336 1,095 $85K
V2020 Frames, purchases 568 497 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 974 859 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 394 284 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 118 79 $3K
92250 221 188 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 152 140 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 152 137 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 24 $736.65
92226 85 41 $270.18
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17 15 $224.00
V2755 U-v lens, per lens 191 183 $20.00
92202 12 12 $0.47