Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BOISE › ARTISAN PEDIATRIC EYECARE LLC

ARTISAN PEDIATRIC EYECARE LLC

NPI: 1487128823 · BOISE, ID 83704 · Sports Vision Optometrist · NPI assigned 01/18/2019

$1.38M
Total Medicaid Paid
20,925
Total Claims
20,870
Beneficiaries
7
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, JEFFREY (MANAGER)
NPI Enumeration Date01/18/2019

Related Entities

Other providers sharing the same authorized official: JOHNSON, JEFFREY

ProviderCityStateTotal Paid
CITY OF NEWPORT NEWS NEWPORT NEWS VA $5.72M
JEFFREY C. JOHNSON BOISE ID $330K
TWIN PEAKS MEDICAL P.C. WEST JORDAN UT $211K
DANVILLE PEDIATRIC DENTISTRY, PSC DANVILLE KY $78K
DJR2 PROFESSIONAL LIMITED LIABILITY COMPANY DANVILLE KY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,325 $95K
2020 3,861 $270K
2021 4,592 $299K
2022 4,393 $290K
2023 3,657 $239K
2024 3,097 $188K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,158 5,156 $548K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,369 5,318 $530K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,090 2,090 $268K
99215 Prolong outpt/office vis 194 193 $24K
92015 Determination of refractive state 8,090 8,089 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
92310 12 12 $897.05