Medicaid Provider Spending

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

SOUTHEASTERN EYE CARE, PA

NPI: 1407843014 · LUMBERTON, NC 28358 · Ophthalmology Physician · NPI assigned 09/29/2005

$343K
Total Medicaid Paid
27,744
Total Claims
24,839
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOUSER, TIMOTHY (OPHTHALMOLOGIST)
NPI Enumeration Date09/29/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,319 $21K
2019 5,216 $36K
2020 4,422 $29K
2021 5,456 $48K
2022 3,066 $44K
2023 2,472 $57K
2024 2,793 $108K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 1,618 1,379 $120K
S0620 Routine ophthalmological examination including refraction; new patient 1,048 943 $98K
92250 1,350 1,224 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 485 360 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 1,342 1,165 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 744 727 $19K
92567 445 400 $5K
92342 609 607 $5K
92370 682 568 $5K
92015 Determination of refractive state 850 724 $3K
92587 101 88 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
67210 18 13 $1K
92341 91 80 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $1K
67820 74 73 $865.37
92557 27 24 $712.32
92134 19 15 $394.95
92133 13 13 $185.54
92286 15 15 $161.01
G8785 Blood pressure reading not documented, reason not given 2,528 2,237 $87.45
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,844 3,445 $87.41
1036F 3,230 2,894 $72.20
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,841 2,521 $72.20
76514 13 13 $20.00
3284F 28 26 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 125 120 $0.00
3285F 28 26 $0.00
G8756 No documentation of blood pressure measurement, reason not given 1,319 1,216 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 129 116 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 87 82 $0.00
3072F 58 57 $0.00
2023F 25 13 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 1,317 1,215 $0.00
2027F 111 108 $0.00
2026F 814 761 $0.00
2022F 731 666 $0.00
2024F 715 654 $0.00
4004F 117 111 $0.00
5010F 129 116 $0.00