Medicaid Provider Spending

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

CORNERBROOK PLAZA EYE CARE P A

NPI: 1639469000 · PORTLAND, ME 04102 · Optometrist · NPI assigned 04/19/2011

$49K
Total Medicaid Paid
1,472
Total Claims
1,253
Beneficiaries
3
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALL, PETER (PRESIDENT)
NPI Enumeration Date04/19/2011

Related Entities

Other providers sharing the same authorized official: HALL, PETER

ProviderCityStateTotal Paid
RUBYRIDE SCOTTSDALE AZ $2.51M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 186 $7K
2023 776 $25K
2024 510 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 646 548 $48K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 12 $816.43
92015 Determination of refractive state 813 693 $26.63