Medicaid Provider Spending

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

MICHAEL D MOORE OD PS INC

NPI: 1326213992 · OLYMPIA, WA 98506 · Optometrist · NPI assigned 04/24/2008

$3K
Total Medicaid Paid
74
Total Claims
74
Beneficiaries
2
Codes Billed
2019-04
First Month
2019-10
Last Month

Provider Details

Authorized OfficialMOORE, MICHAEL (OWNER/PRESIDENT)
NPI Enumeration Date04/24/2008

Related Entities

Other providers sharing the same authorized official: MOORE, MICHAEL

ProviderCityStateTotal Paid
JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. BARTLESVILLE OK $6.79M
KISMET SUX LLC SERGEANT BLUFF IA $827K
KISMET RDK, LLC RED OAK IA $419K
CENTERVILLEABINGTON CS CENTERVILLE IN $173K
OCEANA DENTAL CENTER PLLC OCEANA WV $52K
LANTIS ENTERPRISES, INC BILLINGS MT $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 74 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37 37 $3K
92015 Determination of refractive state 37 37 $370.00