Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › LEBANON › MICHAEL MONTGOMERY OD PC

MICHAEL MONTGOMERY OD PC

NPI: 1316078868 · LEBANON, MO 65536 · Optometrist · NPI assigned 03/08/2007

$9K
Total Medicaid Paid
637
Total Claims
582
Beneficiaries
4
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONTGOMERY, MICHAEL (DOCTOR OF OPTOMETRY)
NPI Enumeration Date03/08/2007

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, MICHAEL

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THE FAMILY CLINIC INC OPELOUSAS LA $379K
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TALLAPOOSA EMS, LLC DADEVILLE AL $187K
EMPOWER COUNSELING SERVICES LLC AKRON OH $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 204 $3K
2020 92 $1K
2021 229 $4K
2022 62 $458.72
2023 38 $623.55
2024 12 $61.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 207 192 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 65 61 $3K
92015 Determination of refractive state 340 316 $1K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 13 $722.66