Medicaid Provider Spending

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

PRO VISION OPTOMETRIC CENTER PA

NPI: 1285767814 · ROANOKE RAPIDS, NC 27870 · Optometrist · NPI assigned 03/13/2007

$63K
Total Medicaid Paid
5,769
Total Claims
3,673
Beneficiaries
15
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialPESTEANU, DIANA (OWNER)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,424 $33K
2019 2,037 $26K
2020 308 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,363 762 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 698 463 $14K
92340 Fitting of spectacles, except for aphakia; monofocal 365 305 $6K
S0621 Routine ophthalmological examination including refraction; established patient 68 68 $5K
92083 215 140 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 48 $4K
92370 522 518 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100 80 $3K
92133 204 160 $3K
92341 122 96 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35 27 $2K
92134 141 83 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,561 768 $0.01
2027F 183 91 $0.00
3284F 138 64 $0.00