Medicaid Provider Spending

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

OKLAHOMA EYE CARE LLC

NPI: 1275693087 · MIDWEST CITY, OK 73130 · Ophthalmology Physician · NPI assigned 12/11/2006

$17K
Total Medicaid Paid
223
Total Claims
223
Beneficiaries
3
Codes Billed
2021-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJOBE, MANDY (CLIENT MANAGER)
NPI Enumeration Date12/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 223 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87 87 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 52 52 $5K
92015 Determination of refractive state 84 84 $2K