Medicaid Provider Spending

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

ICARE OPTOMETRY OF PENNSYLVANIA PC

NPI: 1245994581 · PHILADELPHIA, PA 19152 · Optometrist · NPI assigned 10/22/2021

$5K
Total Medicaid Paid
432
Total Claims
414
Beneficiaries
3
Codes Billed
2022-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHENRIQUEZ, CAROLINA (DIRECTOR OF OPERATIONS)
NPI Enumeration Date10/22/2021

Related Entities

Other providers sharing the same authorized official: HENRIQUEZ, CAROLINA

ProviderCityStateTotal Paid
EYE CARE VISION OPTOMETRY P.C. STATEN ISLAND NY $379K
FOOT FORWARD PODIATRY PC STATEN ISLAND NY $218K
MEDICAL SERVICES CORP OF FLORIDA HOLLYWOOD FL $17K
ONE FOOT FORWARD PODIATRY PC PHILADELPHIA PA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 47 $407.52
2023 199 $2K
2024 186 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 361 352 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29 27 $235.08
92202 42 35 $94.07