Medicaid Provider Spending

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

BRAIN & EYE CONNECTION VISION CLINIC, PC

NPI: 1205105780 · OKLAHOMA CITY, OK 73159 · Health Service Clinic/Center · NPI assigned 12/29/2011

$200K
Total Medicaid Paid
2,206
Total Claims
1,170
Beneficiaries
7
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROACH, CAROLANNE (PRESIDENT)
NPI Enumeration Date12/29/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 135 $13K
2022 607 $54K
2023 1,000 $93K
2024 464 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,564 567 $167K
99215 Prolong outpt/office vis 148 109 $22K
92250 273 273 $8K
92015 Determination of refractive state 172 172 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $359.52
V2020 Frames, purchases 25 25 $250.00
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $0.00