Medicaid Provider Spending

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

JOHN KENYON AMERICAN EYE INSTITUTE LLC

NPI: 1447259510 · NEW ALBANY, IN 47150 · Glaucoma Specialist (Ophthalmology) Physician · NPI assigned 07/20/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$904K
Total Medicaid Paid
13,418
Total Claims
10,718
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (OWNER/MANAGER)
NPI Enumeration Date07/20/2005

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
BLUE SKY VISION EYE CARE, P.C GRAND RAPIDS MI $9.34M
VIRGINIA EYE CONSULTANTS INC NORFOLK VA $8.26M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
MONMOUTH RETINA CONSULTANTS, P.A. LITTLE SILVER NJ $476K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FLORENCE OPHTHALMOLOGY LLC FLORENCE AL $42K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,709 $97K
2019 1,848 $96K
2020 1,012 $35K
2021 2,307 $176K
2022 2,500 $219K
2023 2,374 $197K
2024 1,668 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2,051 1,436 $399K
J0178 Injection, aflibercept, 1 mg 657 440 $252K
67028 Intravitreal injection of a pharmacologic agent 1,634 1,282 $51K
92136 2,615 1,993 $39K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 908 777 $28K
92134 2,073 1,777 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 429 402 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 855 740 $23K
J2777 Injection, faricimab-svoa, 0.1 mg 19 12 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 444 393 $10K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 524 424 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 135 122 $8K
92250 378 325 $8K
92083 219 200 $7K
92133 106 90 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 59 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $661.72
66821 12 12 $283.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 156 121 $0.00
1036F 123 101 $0.00