Medicaid Provider Spending

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

PREMIER EYECARE OF EDMOND PLLC

NPI: 1295930410 · EDMOND, OK 73003 · Optometrist · NPI assigned 06/18/2007

$15K
Total Medicaid Paid
400
Total Claims
400
Beneficiaries
6
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMAYES, AMBER (OPTOMETRIST)
NPI Enumeration Date06/18/2007

Related Entities

Other providers sharing the same authorized official: MAYES, AMBER

ProviderCityStateTotal Paid
MAYES & MAYES OPTOMETRY, PLLC OKLAHOMA CITY OK $4.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $185.68
2019 44 $2K
2020 13 $237.64
2021 37 $2K
2023 59 $2K
2024 235 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50 50 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 38 38 $4K
92015 Determination of refractive state 202 202 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 26 26 $711.45
V2020 Frames, purchases 42 42 $420.00
V2784 Lens, polycarbonate or equal, any index, per lens 42 42 $0.00