Medicaid Provider Spending

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

NPI: 1184368334 · PUEBLO, CO 81008 · Optometrist · NPI assigned 04/25/2022

$1K
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2022-07
First Month
2022-07
Last Month

Provider Details

Authorized OfficialEVANS, JACQUELINE (OWNER)
Parent OrganizationELLINGTON EYECARE PLLC
NPI Enumeration Date04/25/2022

Related Entities

Other providers sharing the same authorized official: EVANS, JACQUELINE

ProviderCityStateTotal Paid
ELLINGTON EYECARE PLLC ENGLEWOOD CO $322K
ELLINGTON EYECARE PLLC OAKLAND MD $135K
ELLINGTON EYECARE PLLC MC COOK NE $55K
ELLINGTON EYECARE PLLC WESTMINSTER CO $25K
ELLINGTON EYECARE PLLC LA JUNTA CO $14K
ELLINGTON EYECARE PLLC CANON CITY CO $10K
ELLINGTON EYECARE PLLC COLORADO SPRINGS CO $6K
ELLINGTON EYECARE PLLC DENVER CO $5K
ELLINGTON EYECARE PLLC AUBURN ME $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $1K