Medicaid Provider Spending

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

MOBILE EYECARE OF UTAH LLC

NPI: 1245274521 · MAGNA, UT 84044 · Optometrist · NPI assigned 06/16/2006

$37K
Total Medicaid Paid
1,311
Total Claims
1,224
Beneficiaries
6
Codes Billed
2018-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialLARSEN, SHAUN (OWNER)
NPI Enumeration Date06/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 307 $11K
2019 334 $8K
2020 280 $8K
2021 306 $9K
2022 32 $470.10
2023 52 $625.26

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 407 373 $24K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 121 118 $9K
V2020 Frames, purchases 25 25 $3K
92015 Determination of refractive state 734 684 $808.13
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $130.05
G8785 Blood pressure reading not documented, reason not given 12 12 $0.00