Medicaid Provider Spending

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

RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC

NPI: 1619949971 · LEXINGTON, KY 40509 · Ophthalmology Physician · NPI assigned 02/02/2006

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

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

$13.25M
Total Medicaid Paid
104,887
Total Claims
72,621
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (OWNER)
NPI Enumeration Date02/02/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
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
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
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 11,917 $1.32M
2019 11,930 $1.13M
2020 15,326 $2.06M
2021 17,032 $2.50M
2022 14,824 $2.21M
2023 22,162 $2.23M
2024 11,696 $1.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0178 Injection, aflibercept, 1 mg 14,797 7,696 $9.52M
67028 Intravitreal injection of a pharmacologic agent 32,008 22,406 $2.26M
92134 34,798 25,767 $579K
J2778 Injection, ranibizumab, 0.1 mg 672 370 $253K
J9035 Injection, bevacizumab, 10 mg 4,704 2,871 $228K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,735 7,627 $193K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,377 2,420 $99K
92250 2,827 2,265 $79K
J3590 Unclassified biologics 1,670 950 $23K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 259 212 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $1K
92235 14 12 $603.22