Medicaid Provider Spending

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

SUMMERVILLE PRIMARY EYECARE LLC

NPI: 1396276630 · SUMMERVILLE, SC 29483 · Optometrist · NPI assigned 03/27/2017

$10K
Total Medicaid Paid
410
Total Claims
410
Beneficiaries
3
Codes Billed
2021-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialMCCARTNEY, KELLI (LLC MEMBER)
NPI Enumeration Date03/27/2017

Related Entities

Other providers sharing the same authorized official: MCCARTNEY, KELLI

ProviderCityStateTotal Paid
SUMMERVILLE PEDIATRIC EYECARE PC SUMMERVILLE SC $242K
REMOTE OPTOMETRIC SERVICES LLC MANNING SC $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 99 $2K
2022 311 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 129 129 $8K
92015 Determination of refractive state 266 266 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 15 $952.50