Medicaid Provider Spending

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

MONTGOMERY & RIDDLE EYECARE, PA

NPI: 1265476584 · CLINTON, SC 29325 · Ophthalmology Physician · NPI assigned 06/16/2006

$12K
Total Medicaid Paid
257
Total Claims
224
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialMONTGOMERY, SAMUEL (PRESIDENT)
NPI Enumeration Date06/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 257 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 179 155 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $931.70
92015 Determination of refractive state 28 28 $572.30
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 14 $472.27
83861 17 13 $134.13