Medicaid Provider Spending

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

MED SOUTHWEST, PLLC

NPI: 1588120877 · HOPE, AR 71801 · Optometrist · NPI assigned 02/12/2019

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

Authorized official DOWNS, SUE controls 20+ related entities in our dataset. Read more

$257K
Total Medicaid Paid
5,534
Total Claims
5,288
Beneficiaries
13
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNS, SUE (SECRETARY)
NPI Enumeration Date02/12/2019

Related Entities

Other providers sharing the same authorized official: DOWNS, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF INDIANA, LLC ANDERSON IN $1.29M
MYEYEDR OPTOMETRY OF INDIANA, LLC SOUTH BEND IN $1.24M
MYEYEDR OPTOMETRY OF INDIANA, LLC MISHAWAKA IN $927K
MED SOUTHWEST, PLLC TEXARKANA TX $870K
MYEYEDR OPTOMETRY OF INDIANA, LLC ELKHART IN $826K
MYEYEDR OPTOMETRY OF INDIANA, LLC MERRILLVILLE IN $814K
MYEYEDR OPTOMETRY OF INDIANA, LLC MICHIGAN CITY IN $585K
MYEYEDR OPTOMETRY OF INDIANA, LLC LAFAYETTE IN $537K
MYEYEDR OPTOMETRY OF INDIANA, LLC SPENCER IN $486K
MYEYEDR OPTOMETRY OF INDIANA, LLC LEBANON IN $400K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $397K
MED SOUTHWEST, PLLC BROKEN BOW OK $396K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $371K
MED SOUTHWEST PLLC IDABEL OK $365K
MYEYEDR OPTOMETRY OF ALABAMA LLC MONTGOMERY AL $348K
MYEYEDR OPTOMETRY OF ALABAMA LLC TRUSSVILLE AL $256K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $226K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $204K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $178K
MYEYEDR OPTOMETRY OF INDIANA, LLC ZIONSVILLE IN $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,215 $41K
2020 1,116 $54K
2021 1,532 $77K
2022 818 $42K
2023 683 $35K
2024 170 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 2,341 2,278 $109K
S0621 Routine ophthalmological examination including refraction; established patient 1,933 1,879 $107K
S0620 Routine ophthalmological examination including refraction; new patient 595 578 $32K
S0512 Daily wear specialty contact lens, per lens 21 15 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90 79 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19 18 $1K
92015 Determination of refractive state 40 39 $1K
S0592 Comprehensive contact lens evaluation 16 15 $915.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21 21 $855.44
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 254 186 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13 12 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 19 16 $0.00
V2020 Frames, purchases 172 152 $0.00