Medicaid Provider Spending

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

CLARKSON OPTOMETRY MIDWEST INC.

NPI: 1225499098 · BALLWIN, MO 63011 · Optometrist · NPI assigned 03/08/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WACHTER, JAMES controls 20+ related entities in our dataset. Read more

$460K
Total Medicaid Paid
17,170
Total Claims
16,674
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialWACHTER, JAMES (AUTHORIZED OFFICIAL)
NPI Enumeration Date03/08/2016

Related Entities

Other providers sharing the same authorized official: WACHTER, JAMES

ProviderCityStateTotal Paid
CLARKSON OPTOMETRY MIDWEST INC LEBANON KY $2.12M
EYECARE ASSOCIATES, INC. HUNTSVILLE AL $564K
EYECARE ASSOCIATES, INC. PRATTVILLE AL $467K
EYECARE ASSOCIATES, INC. SCOTTSBORO AL $395K
EYECARE ASSOCIATES, INC. MADISON AL $300K
EYECARE ASSOCIATES, INC. ARAB AL $242K
EYECARE ASSOCIATES, INC. MOODY AL $206K
EYECARE ASSOCIATES, INC. BIRMINGHAM AL $114K
EYECARE ASSOCIATES, INC. DECATUR AL $99K
EYECARE ASSOCIATES, INC. BIRMINGHAM AL $96K
EYECARE ASSOCIATES, INC. CLANTON AL $94K
CLARKSON OPTOMETRY MIDWEST INC MANSFIELD OH $77K
EYECARE ASSOCIATES, INC. NORTHPORT AL $74K
EYECARE ASSOCIATES, INC. SOUTHSIDE AL $68K
CLARKSON OPTOMETRY MIDWEST INC. LOUISVILLE KY $31K
EYECARE ASSOCIATES, INC. MOBILE AL $23K
BENNETT OPTOMETRY LLC ANN ARBOR MI $16K
CLARKSON OPTOMETRY MIDWEST INC. ELIZABETHTOWN KY $13K
CLARKSON OPTOMETRY MIDWEST INC CLARKSVILLE IN $10K
CLARKSON OPTOMETRY MIDWEST INC. LOUISVILLE KY $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,005 $216K
2019 7,030 $192K
2020 806 $22K
2021 554 $11K
2022 317 $7K
2023 202 $5K
2024 256 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 6,971 6,709 $134K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,870 2,788 $119K
92340 Fitting of spectacles, except for aphakia; monofocal 4,770 4,689 $101K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,915 1,857 $87K
92341 422 419 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78 70 $3K
92250 95 93 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $347.49