Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AL › OZARK › DR TAMMY WALLACE LLC

DR TAMMY WALLACE LLC

NPI: 1295118255 · OZARK, AL 36360 · Optometrist · NPI assigned 07/08/2015

$1K
Total Medicaid Paid
53
Total Claims
49
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialWALLACE, TAMMY (OWNER)
NPI Enumeration Date07/08/2015

Related Entities

Other providers sharing the same authorized official: WALLACE, TAMMY

ProviderCityStateTotal Paid
REGENTS UNIV OF CALIF LOS ANGELES LOS ANGELES CA $41.47M
REGENTS OF THE UNIV OF CALIFORNIA SANTA MONICA CA $11.54M
REGENTS OF THE UNIVERSITY OF PANORAMA CITY CA $2.36M
REGENTS UNIV OF CALIF LOS ANGELES WEST HILLS CA $360K
REGENTS UNIV OF CALIF LOS ANGELES LOS ANGELES CA $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 53 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 13 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 17 16 $270.00
92015 Determination of refractive state 22 20 $153.00