Medicaid Provider Spending

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

AMWALLACE, LLC

NPI: 1174802631 · LONGVIEW, TX 75605 · Optometrist · NPI assigned 08/15/2011

$9K
Total Medicaid Paid
252
Total Claims
244
Beneficiaries
3
Codes Billed
2020-02
First Month
2021-09
Last Month

Provider Details

Authorized OfficialWALLACE, AUGUST (DOCTOR/OWNER)
NPI Enumeration Date08/15/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 70 $4K
2021 182 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 44 44 $5K
92015 Determination of refractive state 195 187 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $2K