Medicaid Provider Spending

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

CLARENDON EYE CENTER P A

NPI: 1174619423 · MANNING, SC 29102 · Optometrist · NPI assigned 10/05/2006

$3K
Total Medicaid Paid
139
Total Claims
116
Beneficiaries
4
Codes Billed
2019-09
First Month
2020-02
Last Month

Provider Details

Authorized OfficialWEARDEN, STEVEN (OWNER)
NPI Enumeration Date10/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 87 $2K
2020 52 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 27 18 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 26 13 $849.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $762.00
92015 Determination of refractive state 74 73 $370.00