Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › KANSAS CITY › STATE LINE EYE CARE CENTER, PC

STATE LINE EYE CARE CENTER, PC

NPI: 1215978622 · KANSAS CITY, MO 64114 · Ophthalmology Physician · NPI assigned 06/09/2006

$6K
Total Medicaid Paid
197
Total Claims
168
Beneficiaries
3
Codes Billed
2020-08
First Month
2022-09
Last Month

Provider Details

Authorized OfficialYOHN, LILLIAM (LILY) (SECRETARY/OFFICE MANAGER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: YOHN, LILLIAM (LILY)

ProviderCityStateTotal Paid
STATE LINE EYE CARE CENTER, PC KANSAS CITY MO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 100 $3K
2021 48 $1K
2022 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 130 108 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 33 30 $1K
92015 Determination of refractive state 34 30 $142.55