Medicaid Provider Spending

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

SOUTHEAST EYE SPECIALISTS PLLC

NPI: 1518961176 · CHATTANOOGA, TN 37421 · Ophthalmic Plastic and Reconstructive Surgery Physician · NPI assigned 06/10/2005

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

Authorized official BURTON, AMY controls 13+ related entities in our dataset. Read more

$3.78M
Total Medicaid Paid
84,056
Total Claims
69,429
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURTON, AMY (DIRECTOR RCM)
NPI Enumeration Date06/10/2005

Related Entities

Other providers sharing the same authorized official: BURTON, AMY

ProviderCityStateTotal Paid
DAVID M HARMAN MD LLC FOREST VA $9.65M
SURGERY CENTER OF CENTRAL VIRGINIA INC. FOREST VA $976K
MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER BRISTOL TN $930K
CATARACT AND REFRACTIVE SURGERY CENTER, LLC RICHMOND VA $462K
DAVID M HARMAN MD LLC APPOMATTOX VA $156K
HARMAN EYE CENTER OF LYNCHBURG, LLC LYNCHBURG VA $135K
HARMAN EYE CENTER OF DANVILLE LLC DANVILLE VA $52K
DAVID M HARMAN MD LLC DANVILLE VA $15K
DAVID M HARMAN MD LLC AMHERST VA $14K
CATARACT AND REFRACTIVE SURGERY CENTER, LLC RICHMOND VA $10K
MICHAEL E. GREEN GALLATIN TN $7K
WINCHESTER EYE SURGERY CENTER, LLC WINCHESTER VA $5K
HARMAN EYE CENTER OF APPOMATTOX AND ASSOCIATES PLC APPOMATTOX VA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,558 $509K
2019 12,817 $570K
2020 9,659 $478K
2021 12,766 $636K
2022 12,200 $544K
2023 13,586 $575K
2024 11,470 $463K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,272 14,811 $960K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,164 8,889 $636K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 7,137 4,774 $619K
92060 13,782 12,547 $472K
99215 Prolong outpt/office vis 3,612 3,483 $320K
92015 Determination of refractive state 7,845 7,551 $301K
67028 Intravitreal injection of a pharmacologic agent 2,611 1,814 $115K
92285 1,717 1,597 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,703 1,495 $52K
92250 1,235 1,132 $52K
92134 3,948 3,095 $40K
92136 6,468 2,851 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 600 575 $39K
J9035 Injection, bevacizumab, 10 mg 1,676 1,222 $33K
92286 321 305 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 238 184 $9K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 124 113 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 105 88 $2K
92133 196 159 $2K
92083 138 116 $2K
2022F 111 100 $200.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 12 $112.84
66821 21 12 $84.24
92025 48 40 $57.62
76514 19 13 $16.28
G9903 Patient screened for tobacco use and identified as a tobacco non-user 372 315 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 279 229 $0.00
1036F 636 539 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 30 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 941 772 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 488 406 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 60 51 $0.00
4040F 18 14 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 94 75 $0.00
5010F 30 25 $0.00