Medicaid Provider Spending

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

MEDICAL CENTER EYE CLINIC LLC

NPI: 1255859799 · SALEM, OR 97301 · Ophthalmology Physician · NPI assigned 09/05/2017

$1.79M
Total Medicaid Paid
32,095
Total Claims
29,888
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTGOMERY, SHELLEA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date09/05/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,630 $404K
2019 5,686 $406K
2020 3,150 $133K
2021 3,827 $162K
2022 3,654 $160K
2023 4,685 $227K
2024 5,463 $296K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,469 7,907 $712K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,979 5,708 $681K
92015 Determination of refractive state 13,608 12,880 $200K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,670 1,400 $76K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,545 1,224 $75K
T1013 Sign language or oral interpretive services, per 15 minutes 495 483 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 156 131 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 25 $1K
92134 56 51 $1K
92250 36 29 $840.97
92083 12 12 $407.07
92020 29 26 $392.68
92133 13 12 $159.48