Medicaid Provider Spending

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

KIMBERLING VISION CENTER, INC

NPI: 1417001009 · KIMBERLING CITY, MO 65686 · Optometrist · NPI assigned 01/22/2007

$16K
Total Medicaid Paid
799
Total Claims
617
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWILLIAMS, DEBRA (CHAIRMAN OF THE BOARD)
NPI Enumeration Date01/22/2007

Related Entities

Other providers sharing the same authorized official: WILLIAMS, DEBRA

ProviderCityStateTotal Paid
WINDEMERE HEALTHCARE CENTER RIVERSIDE MO $1.01M
THROUGH THE WOODS WELLNESS AND COUNSELING CHEYENNE WY $46K
DAVID ALIABADI MD INC. THOUSAND OAKS CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49 $410.66
2019 30 $232.05
2020 246 $4K
2021 117 $2K
2022 60 $489.77
2023 165 $5K
2024 132 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37 36 $3K
92273 31 30 $3K
92083 124 61 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 88 40 $2K
V2020 Frames, purchases 80 72 $2K
92015 Determination of refractive state 308 269 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30 27 $1K
92250 88 70 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $739.30