Medicaid Provider Spending

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

417 EYES A SERIES LLC

NPI: 1386036721 · MARSHFIELD, MO 65706 · Optometrist · NPI assigned 02/23/2015

$43K
Total Medicaid Paid
2,197
Total Claims
2,150
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOONE, DANIEL (OWNER/ OPTOMETRIST)
NPI Enumeration Date02/23/2015

Related Entities

Other providers sharing the same authorized official: BOONE, DANIEL

ProviderCityStateTotal Paid
DANIEL E BOONE OD NIXA MO $215K
BPEYES LLC BRANSON WEST MO $70K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 112 $862.34
2021 477 $6K
2022 347 $6K
2023 524 $14K
2024 737 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 342 333 $18K
92002 320 317 $16K
92015 Determination of refractive state 1,194 1,168 $6K
V2020 Frames, purchases 38 38 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 303 294 $2K