Medicaid Provider Spending

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

MED SOUTHWEST PLLC

NPI: 1124588405 · EL DORADO, AR 71730 · Optometrist · NPI assigned 03/22/2019

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

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$257K
Total Medicaid Paid
5,575
Total Claims
5,341
Beneficiaries
10
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date03/22/2019

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 749 $28K
2020 992 $44K
2021 1,327 $59K
2022 952 $48K
2023 823 $42K
2024 732 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 2,771 2,662 $128K
S0621 Routine ophthalmological examination including refraction; established patient 1,567 1,539 $86K
S0620 Routine ophthalmological examination including refraction; new patient 744 714 $41K
92015 Determination of refractive state 67 59 $2K
92370 14 14 $483.14
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $480.70
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 73 49 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 12 12 $0.00
V2020 Frames, purchases 297 268 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 18 12 $0.00