Medicaid Provider Spending

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

EAST MOUNTAIN EYE CLINIC PC

NPI: 1215927215 · EDGEWOOD, NM 87015 · Optometrist · NPI assigned 10/21/2005

$23K
Total Medicaid Paid
684
Total Claims
684
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialWALKER, PATRIA (PRESIDENT)
NPI Enumeration Date10/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 684 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 116 116 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87 87 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 127 127 $4K
92015 Determination of refractive state 264 264 $2K
V2020 Frames, purchases 90 90 $2K