Medicaid Provider Spending

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

THE OPHTHALMOLOGY GROUP, LLC

NPI: 1598717027 · PADUCAH, KY 42001 · Optometrist · NPI assigned 05/16/2006

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

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$143K
Total Medicaid Paid
5,184
Total Claims
4,774
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (OWNER)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
BLUE SKY VISION EYE CARE, P.C GRAND RAPIDS MI $9.34M
VIRGINIA EYE CONSULTANTS INC NORFOLK VA $8.26M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
MONMOUTH RETINA CONSULTANTS, P.A. LITTLE SILVER NJ $476K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FLORENCE OPHTHALMOLOGY LLC FLORENCE AL $42K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,080 $25K
2019 959 $22K
2020 642 $16K
2021 543 $13K
2022 747 $24K
2023 814 $32K
2024 399 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
67028 Intravitreal injection of a pharmacologic agent 1,369 1,287 $64K
92134 2,338 2,181 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,041 928 $29K
J0178 Injection, aflibercept, 1 mg 20 12 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 85 77 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 49 $4K
J3590 Unclassified biologics 103 80 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 121 $935.36
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19 15 $686.65
92133 15 12 $252.71
92136 13 12 $142.46