Medicaid Provider Spending

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

KINGSTON EYECARE CENTER, LLC

NPI: 1134293228 · KINGSTON, WA 98346 · Optometrist · NPI assigned 11/20/2006

$41K
Total Medicaid Paid
1,668
Total Claims
1,634
Beneficiary Records
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBROCKETT, MITCHELL (OWNER)
NPI Enumeration Date11/20/2006

Related Entities

Other providers sharing the same authorized official: BROCKETT, MITCHELL

ProviderCityStateTotal Paid
PORT ORCHARD EYECARE CENTERS INC, PS PORT ORCHARD WA $277K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 84 $2K
2019 241 $5K
2020 160 $3K
2021 425 $15K
2022 321 $9K
2023 306 $5K
2024 131 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 232 229 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 274 272 $13K
92015 Determination of refractive state 1,123 1,094 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 39 39 $809.59