Medicaid Provider Spending

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

PACIFIC VISION MEDICAL CENTER

NPI: 1346399433 · CRESCENT CITY, CA 95531 · Eyewear Supplier · NPI assigned 01/09/2007

$36K
Total Medicaid Paid
1,505
Total Claims
1,489
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialENINGER, LARRY (PARTNER)
NPI Enumeration Date01/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 592 $15K
2019 345 $6K
2020 109 $3K
2021 459 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 661 655 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 407 404 $10K
92015 Determination of refractive state 260 260 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 110 106 $3K
92134 55 52 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $771.68