Medicaid Provider Spending

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

ELGIN VISION PLLC

NPI: 1467826057 · ELGIN, TX 78621 · Optometrist · NPI assigned 11/19/2015

$23K
Total Medicaid Paid
1,215
Total Claims
1,161
Beneficiaries
10
Codes Billed
2020-11
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRUTKOWSKI, CLAYTON (AUTHORIZED OFFICIAL)
NPI Enumeration Date11/19/2015

Related Entities

Other providers sharing the same authorized official: RUTKOWSKI, CLAYTON

ProviderCityStateTotal Paid
BELTON EYE CARE CENTER BELTON TX $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 94 $2K
2021 515 $8K
2022 490 $11K
2023 63 $1K
2024 53 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 446 422 $9K
V2020 Frames, purchases 369 355 $6K
S0620 Routine ophthalmological examination including refraction; new patient 101 98 $4K
92015 Determination of refractive state 189 179 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $1K
S0621 Routine ophthalmological examination including refraction; established patient 15 15 $656.25
V2025 Deluxe frame 15 15 $606.60
92060 15 15 $456.85
92250 31 28 $390.14
92340 Fitting of spectacles, except for aphakia; monofocal 19 19 $0.00