Medicaid Provider Spending

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

TUSCALOOSA OPHTHALMOLOGY, INC.

NPI: 1487728218 · TUSCALOOSA, AL 35404 · Optometrist · NPI assigned 11/20/2006

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

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

$690K
Total Medicaid Paid
26,886
Total Claims
22,120
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (CMO/AUTHORIZED OFFICIAL)
NPI Enumeration Date11/20/2006

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 NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
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 4,704 $113K
2019 4,282 $113K
2020 3,436 $89K
2021 3,712 $87K
2022 5,229 $82K
2023 3,284 $101K
2024 2,239 $106K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,839 6,711 $333K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,160 2,743 $213K
92015 Determination of refractive state 11,590 9,280 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,053 748 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,072 922 $18K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 123 65 $16K
92340 Fitting of spectacles, except for aphakia; monofocal 359 260 $4K
92136 302 224 $4K
92134 240 211 $3K
S0621 Routine ophthalmological examination including refraction; established patient 88 88 $2K
92133 193 163 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 25 $2K
92020 123 105 $1K
S0620 Routine ophthalmological examination including refraction; new patient 15 15 $525.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 32 24 $411.94
92250 16 14 $316.46
V2750 Anti-reflective coating, per lens 176 140 $150.00
V2784 Lens, polycarbonate or equal, any index, per lens 164 130 $37.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 128 102 $17.20
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 26 22 $8.60
V2020 Frames, purchases 160 128 $8.00