Medicaid Provider Spending

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

HAVEN EYECARE PLLC

NPI: 1528698727 · SAN ANTONIO, TX 78230 · Optometrist · NPI assigned 01/16/2020

$17K
Total Medicaid Paid
807
Total Claims
642
Beneficiaries
4
Codes Billed
2020-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialABRAHAM, MANOJ (DOCTOR OF OPTOMETRY)
NPI Enumeration Date01/16/2020

Related Entities

Other providers sharing the same authorized official: ABRAHAM, MANOJ

ProviderCityStateTotal Paid
2020 EYEDR SOUTHLAKE TX $31.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 142 $4K
2021 665 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 568 463 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 101 96 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 71 49 $1K
92015 Determination of refractive state 67 34 $185.23