Medicaid Provider Spending

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

SOUTHWEST EYE CLINIC, PLLC

NPI: 1386725224 · OKLAHOMA CITY, OK 73109 · General Practice Physician · NPI assigned 10/18/2006

Deactivated NPI · This NPI was deactivated on 07/11/2024. Reactivated 08/06/2024.
$32K
Total Medicaid Paid
217
Total Claims
183
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMALLORY, DAVID (CEO/MANAGER)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $3K
2021 48 $3K
2022 27 $5K
2023 98 $16K
2024 18 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 151 118 $30K
92136 53 52 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $848.66