Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › INDEPENDENCE › SAC INC.

SAC INC.

NPI: 1235204363 · INDEPENDENCE, MO 64055 · Optician · NPI assigned 11/22/2006

$49K
Total Medicaid Paid
2,774
Total Claims
2,772
Beneficiaries
4
Codes Billed
2020-06
First Month
2022-06
Last Month

Provider Details

Authorized OfficialQUINONES, ROMEL (OFFICE MANAGER)
NPI Enumeration Date11/22/2006

Related Entities

Other providers sharing the same authorized official: QUINONES, ROMEL

ProviderCityStateTotal Paid
PROMOHISPANO INC. KANSAS CITY KS $857K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 580 $10K
2021 1,342 $24K
2022 852 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 614 614 $31K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 128 128 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 1,131 1,129 $6K
92015 Determination of refractive state 901 901 $5K