Medicaid Provider Spending

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

TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC

NPI: 1245261833 · ASHLAND, KY 41101 · Optometrist · NPI assigned 07/05/2006

$305K
Total Medicaid Paid
3,778
Total Claims
3,110
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGROSS, JOHN (PRESIDENT)
NPI Enumeration Date07/05/2006

Related Entities

Other providers sharing the same authorized official: GROSS, JOHN

ProviderCityStateTotal Paid
PARKERS CHAPEL SCHOOL EL DORADO AR $92K
CAROLINA MACULAR AND RETINAL CARE LLC MT PLEASANT SC $4K
GATEWAY PHARMACY OF CLARE INC CLARE MI $1K
SWARTZ CREEK FAMILY PHARMACY LLC SWARTZ CREEK MI $695.60

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 920 $96K
2019 1,207 $103K
2020 1,022 $87K
2021 213 $8K
2022 170 $4K
2023 139 $5K
2024 107 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,200 862 $245K
92136 1,186 1,020 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 466 428 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 335 288 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 109 101 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 262 225 $7K
92015 Determination of refractive state 200 172 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20 14 $438.44