Medicaid Provider Spending

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

SUMMIT EYE SURGEONS INCORPORATED

NPI: 1437806486 · SAN JOSE, CA 95128 · Retina Specialist (Ophthalmology) Physician · NPI assigned 03/09/2022

$489.13
Total Medicaid Paid
49
Total Claims
48
Beneficiaries
3
Codes Billed
2023-02
First Month
2024-04
Last Month

Provider Details

Authorized OfficialLALLY, ERIN (PRESIDENT)
NPI Enumeration Date03/09/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 24 $0.00
2024 25 $489.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25 24 $489.13
92250 12 12 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $0.00