Medicaid Provider Spending

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

ELLINGTON EYECARE PLLC

NPI: 1417727942 · LA JUNTA, CO 81050 · Optometrist · NPI assigned 01/05/2024

$14K
Total Medicaid Paid
104
Total Claims
104
Beneficiaries
1
Codes Billed
2024-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, JACQUELINE (OWNER)
Parent OrganizationELLINGTON EYECARE PLLC
NPI Enumeration Date01/05/2024

Related Entities

Other providers sharing the same authorized official: EVANS, JACQUELINE

ProviderCityStateTotal Paid
ELLINGTON EYECARE PLLC ENGLEWOOD CO $322K
ELLINGTON EYECARE PLLC OAKLAND MD $135K
ELLINGTON EYECARE PLLC MC COOK NE $55K
ELLINGTON EYECARE PLLC WESTMINSTER CO $25K
ELLINGTON EYECARE PLLC CANON CITY CO $10K
ELLINGTON EYECARE PLLC COLORADO SPRINGS CO $6K
ELLINGTON EYECARE PLLC DENVER CO $5K
ELLINGTON EYECARE PLLC AUBURN ME $4K
ELLINGTON EYECARE PLLC PUEBLO CO $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 104 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 104 104 $14K