Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF ALABAMA LLC

NPI: 1174033955 · BIRMINGHAM, AL 35215 · Optometrist · NPI assigned 10/05/2017

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

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

$397K
Total Medicaid Paid
18,409
Total Claims
17,357
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialDOWNS, SUE (SECRETARY)
NPI Enumeration Date10/05/2017

Related Entities

Other providers sharing the same authorized official: DOWNS, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF INDIANA, LLC ANDERSON IN $1.29M
MYEYEDR OPTOMETRY OF INDIANA, LLC SOUTH BEND IN $1.24M
MYEYEDR OPTOMETRY OF INDIANA, LLC MISHAWAKA IN $927K
MED SOUTHWEST, PLLC TEXARKANA TX $870K
MYEYEDR OPTOMETRY OF INDIANA, LLC ELKHART IN $826K
MYEYEDR OPTOMETRY OF INDIANA, LLC MERRILLVILLE IN $814K
MYEYEDR OPTOMETRY OF INDIANA, LLC MICHIGAN CITY IN $585K
MYEYEDR OPTOMETRY OF INDIANA, LLC LAFAYETTE IN $537K
MYEYEDR OPTOMETRY OF INDIANA, LLC SPENCER IN $486K
MYEYEDR OPTOMETRY OF INDIANA, LLC LEBANON IN $400K
MED SOUTHWEST, PLLC BROKEN BOW OK $396K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $371K
MED SOUTHWEST PLLC IDABEL OK $365K
MYEYEDR OPTOMETRY OF ALABAMA LLC MONTGOMERY AL $348K
MED SOUTHWEST, PLLC HOPE AR $257K
MYEYEDR OPTOMETRY OF ALABAMA LLC TRUSSVILLE AL $256K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $226K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $204K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $178K
MYEYEDR OPTOMETRY OF INDIANA, LLC ZIONSVILLE IN $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,505 $69K
2019 3,347 $77K
2020 2,182 $45K
2021 2,861 $60K
2022 2,658 $59K
2023 3,369 $74K
2024 487 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,536 2,428 $150K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,411 1,321 $104K
V2020 Frames, purchases 5,024 4,745 $63K
92015 Determination of refractive state 4,128 3,924 $33K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3,407 3,275 $27K
V2784 Lens, polycarbonate or equal, any index, per lens 983 888 $10K
92250 111 110 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 495 416 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 26 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 161 101 $1K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 89 85 $650.40
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 38 38 $360.33