Medicaid Provider Spending

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

OTIS OPTOMETRY, LLC

NPI: 1568873602 · CAMDENTON, MO 65020 · Optometrist · NPI assigned 05/12/2014

$82K
Total Medicaid Paid
3,043
Total Claims
3,038
Beneficiaries
5
Codes Billed
2020-08
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWICKHAM, MATT (OWNER)
NPI Enumeration Date05/12/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 273 $6K
2021 683 $13K
2022 1,509 $43K
2023 578 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 899 899 $67K
92015 Determination of refractive state 1,347 1,347 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 738 733 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41 41 $3K
92002 18 18 $569.36