Medicaid Provider Spending

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

SAND SPRINGS PRIMARY EYECARE

NPI: 1487398533 · SAND SPRINGS, OK 74063 · Optometrist · NPI assigned 04/25/2022

$6K
Total Medicaid Paid
126
Total Claims
126
Beneficiaries
5
Codes Billed
2023-04
First Month
2024-03
Last Month

Provider Details

Authorized OfficialTHIRION, JAMES (OWNER)
NPI Enumeration Date04/25/2022

Related Entities

Other providers sharing the same authorized official: THIRION, JAMES

ProviderCityStateTotal Paid
ONE VISION PLLC BROKEN ARROW OK $223K
COLLINSVILLE PRIMARY EYECARE COLLINSVILLE OK $18K
CLAREMORE PRIMARY EYECARE CLAREMORE OK $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 85 $3K
2024 41 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35 35 $5K
92015 Determination of refractive state 43 43 $757.72
92340 Fitting of spectacles, except for aphakia; monofocal 17 17 $517.14
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14 14 $320.85
V2020 Frames, purchases 17 17 $170.00