Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › STERLING › OUT THERE EYECARE LLC

OUT THERE EYECARE LLC

NPI: 1598530750 · STERLING, CO 80751 · Optometrist · NPI assigned 11/17/2023

$36K
Total Medicaid Paid
415
Total Claims
411
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUMPKIN, JAKE (PROVIDER/OWNER)
NPI Enumeration Date11/17/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 415 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 302 300 $36K
92015 Determination of refractive state 113 111 $0.00