Medicaid Provider Spending

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

HECTOR RIOS OPTOMETRY LLC

NPI: 1275908527 · WICHITA, KS 67217 · Optometrist · NPI assigned 12/10/2015

$40K
Total Medicaid Paid
1,340
Total Claims
1,281
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialRIOS, HECTOR (OWNER)
NPI Enumeration Date12/10/2015

Related Entities

Other providers sharing the same authorized official: RIOS, HECTOR

ProviderCityStateTotal Paid
HECTOR RIOS OPTOMETRY WICHITA KS $29K
HECTOR RIOS OPTOMETRY LLC COLWICH KS $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,340 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 178 173 $12K
V2020 Frames, purchases 348 332 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 156 151 $8K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 110 107 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 96 94 $3K
92015 Determination of refractive state 452 424 $3K