Medicaid Provider Spending

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

MED SOUTHWEST PLLC

NPI: 1336605633 · IDABEL, OK 74745 · Optometrist · NPI assigned 02/12/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNS, SUE controls 20+ related entities in our dataset. Read more

$365K
Total Medicaid Paid
9,185
Total Claims
9,169
Beneficiaries
10
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNS, SUE (SECRETARY)
NPI Enumeration Date02/12/2019

Related Entities

Other providers sharing the same authorized official: DOWNS, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF INDIANA, LLC ANDERSON IN $1.29M
MYEYEDR OPTOMETRY OF INDIANA, LLC SOUTH BEND IN $1.24M
MYEYEDR OPTOMETRY OF INDIANA, LLC MISHAWAKA IN $927K
MED SOUTHWEST, PLLC TEXARKANA TX $870K
MYEYEDR OPTOMETRY OF INDIANA, LLC ELKHART IN $826K
MYEYEDR OPTOMETRY OF INDIANA, LLC MERRILLVILLE IN $814K
MYEYEDR OPTOMETRY OF INDIANA, LLC MICHIGAN CITY IN $585K
MYEYEDR OPTOMETRY OF INDIANA, LLC LAFAYETTE IN $537K
MYEYEDR OPTOMETRY OF INDIANA, LLC SPENCER IN $486K
MYEYEDR OPTOMETRY OF INDIANA, LLC LEBANON IN $400K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $397K
MED SOUTHWEST, PLLC BROKEN BOW OK $396K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $371K
MYEYEDR OPTOMETRY OF ALABAMA LLC MONTGOMERY AL $348K
MED SOUTHWEST, PLLC HOPE AR $257K
MYEYEDR OPTOMETRY OF ALABAMA LLC TRUSSVILLE AL $256K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $226K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $204K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $178K
MYEYEDR OPTOMETRY OF INDIANA, LLC ZIONSVILLE IN $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 154 $9K
2020 695 $34K
2021 2,112 $75K
2022 2,823 $107K
2023 2,162 $85K
2024 1,239 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,317 1,317 $145K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 552 552 $71K
92340 Fitting of spectacles, except for aphakia; monofocal 1,623 1,620 $50K
92015 Determination of refractive state 2,401 2,400 $43K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 749 746 $19K
V2020 Frames, purchases 1,735 1,732 $17K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 461 459 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 162 160 $6K
92250 171 169 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 14 14 $306.90