Medicaid Provider Spending

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

VISTA EYE CARE, PLC

NPI: 1225241961 · GREEN VALLEY, AZ 85614 · Optometrist · NPI assigned 05/08/2007

$35K
Total Medicaid Paid
472
Total Claims
455
Beneficiaries
4
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialNOGALES, SAMANTHA (OPTOMETRIST/MEMBER)
NPI Enumeration Date05/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $910.73
2019 33 $2K
2020 18 $2K
2021 97 $9K
2022 59 $4K
2023 113 $9K
2024 138 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 326 313 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 67 65 $7K
92250 67 65 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $172.94