Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › OSHKOSH › NORTHEAST WISCONSIN VISION CENTER, LTD.

NORTHEAST WISCONSIN VISION CENTER, LTD.

NPI: 1295715415 · OSHKOSH, WI 54904 · Optometrist · NPI assigned 01/23/2006

$7K
Total Medicaid Paid
325
Total Claims
241
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-05
Last Month

Provider Details

Authorized OfficialLARSON, ERIC (PRESIDENT)
NPI Enumeration Date01/23/2006

Related Entities

Other providers sharing the same authorized official: LARSON, ERIC

ProviderCityStateTotal Paid
HAMILTON SCHOOL DISTRICT #3 HAMILTON MT $392K
CRANSTON HEIGHTS FIRE CO NO. 1 WILMINGTON DE $64K
PEE JAY, INC SAINT CLOUD FL $234.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64 $883.16
2019 60 $1K
2020 63 $2K
2021 46 $676.31
2023 61 $2K
2024 31 $203.07

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 211 152 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 23 12 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 51 $566.95
92015 Determination of refractive state 31 26 $203.07