Medicaid Provider Spending

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

SUMMERVILLE PRIMARY EYECARE LLC

NPI: 1396276630 · SUMMERVILLE, SC 29483 · 152W00000X

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

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 129 129 $8K
92015 266 266 $1K
92014 15 15 $952.50