Medicaid Provider Spending

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

SILVERDALE EYE MDS PS

NPI: 1538498886 · SILVERDALE, WA 98383 · Specialist · NPI assigned 12/16/2009

$25K
Total Medicaid Paid
773
Total Claims
764
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialRICO, ALEXANDER (OWNER)
NPI Enumeration Date12/16/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 773 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 207 203 $12K
92250 227 224 $6K
92083 111 110 $3K
92020 164 164 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $795.15
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 12 $302.03
92015 Determination of refractive state 27 27 $224.58
92134 12 12 $190.19