Medicaid Provider Spending

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

SOUTH GIBSON EYECARE ASSOCIATES, LLC

NPI: 1407123128 · HAUBSTADT, IN 47639 · Optometrist · NPI assigned 11/23/2011

$498.49
Total Medicaid Paid
69
Total Claims
65
Beneficiaries
1
Codes Billed
2021-04
First Month
2023-08
Last Month

Provider Details

Authorized OfficialIRVIN, JEFFREY (OWNER)
NPI Enumeration Date11/23/2011

Related Entities

Other providers sharing the same authorized official: IRVIN, JEFFREY

ProviderCityStateTotal Paid
NORTHSIDE EYECARE ASSOCIATES, LLC EVANSVILLE IN $1.25M
OAKLAND CITY EYECARE, LLC OAKLAND CITY IN $40K
PROFESSIONAL EYECARE MANAGEMENT, LLC EVANSVILLE IN $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 42 $278.14
2022 13 $129.40
2023 14 $90.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 69 65 $498.49