Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Midwest Eye Consultants, P.C.

Midwest Eye Consultants, P.C. was paid $398K by Medicaid between May 2018 and Nov 2024, across 9 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 73% of everything it billed.

33Billing provider infoMIDWEST EYE CONSULTANTS, P.C.
MISHAWAKA, IN 46545
33aNPI1316240237assigned 12/15/2010
33bProvider typeOphthalmology Physician
28Total paid$398K
24GClaims3,403
24DCodes billed9
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Indiana

Rank by total paid#22 of 107
Median peer was paid$43K
This provider vs. median9.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARNER, GREGORY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201886$2K
2019173$13K
2020333$40K
2021528$84K
2022648$78K
2023782$77K
2024incomplete853$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 73% 1,048 760 $289K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.5% 622 511 $34K
92136 7.6% 1,162 1,050 $30K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.1% 288 259 $28K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2.9% 149 129 $12K
66821 <1% 32 25 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 41 39 $2K
92025 <1% 33 33 $813.15
76514 <1% 28 28 $253.42

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGARNER, GREGORY (PRES./CEO)
Parent organizationMIDWEST EYE CONSULTANTS, P.C.
Same official

Other billing entities under GARNER, GREGORY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.