Medicaid Provider Spending

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

MENOMONIE EYE & OPTICAL LLC

NPI: 1194922690 · MENOMONIE, WI 54751 · Eyewear Supplier · NPI assigned 06/28/2007

$25K
Total Medicaid Paid
2,418
Total Claims
2,346
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialKOMRO, NICHOLAS (AUTHORIZED MEMBER)
NPI Enumeration Date06/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,002 $22K
2019 285 $2K
2020 24 $0.00
2021 95 $0.00
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 434 418 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 225 220 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 111 $5K
92341 40 39 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17 16 $753.62
92015 Determination of refractive state 413 393 $636.55
G9905 Patient not screened for tobacco use 107 104 $0.00
G8785 Blood pressure reading not documented, reason not given 362 350 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 469 461 $0.00
4004F 13 13 $0.00
1036F 121 119 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 91 89 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 13 13 $0.00