Medicaid Provider Spending

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

POLITZER AND DUROCHER PLC

NPI: 1396738720 · NASHVILLE, TN 37205 · Optometrist · NPI assigned 08/31/2005

$1.62M
Total Medicaid Paid
43,821
Total Claims
38,448
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUROCHER, RICHARD (PRESIDENT/OWNER)
NPI Enumeration Date08/31/2005

Related Entities

Other providers sharing the same authorized official: DUROCHER, RICHARD

ProviderCityStateTotal Paid
ACHILLES FOOT HEALTH CENTER, L.L.C. NORTH HAVEN CT $146K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,300 $92K
2019 3,917 $150K
2020 3,320 $126K
2021 8,583 $319K
2022 8,758 $324K
2023 8,948 $309K
2024 7,995 $301K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,978 5,469 $348K
92015 Determination of refractive state 8,121 7,480 $267K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,702 2,522 $217K
92060 5,125 4,765 $165K
92340 Fitting of spectacles, except for aphakia; monofocal 5,530 5,309 $162K
95930 2,603 2,329 $106K
92250 2,156 1,957 $63K
92065 1,945 863 $61K
V2784 Lens, polycarbonate or equal, any index, per lens 1,204 907 $55K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,424 1,154 $50K
V2783 Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens 458 379 $39K
V2020 Frames, purchases 2,113 1,992 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes 432 204 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 877 556 $10K
92083 338 279 $8K
92066 625 292 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 101 84 $3K
92273 45 43 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 119 84 $1K
92002 31 19 $1K
92275 16 12 $635.27
G9905 Patient not screened for tobacco use 207 191 $0.00
G8785 Blood pressure reading not documented, reason not given 71 62 $0.00
2026F 102 96 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 956 877 $0.00
1036F 501 483 $0.00
3072F 28 28 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 13 12 $0.00