Medicaid Provider Spending

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

MS EYE CARE PA

NPI: 1639530454 · MERIDIAN, MS 39301 · Optometrist · NPI assigned 03/08/2016

$4.37M
Total Medicaid Paid
150,230
Total Claims
133,731
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOMBLE, TAMMY (CREDENTIALING)
Parent OrganizationMS EYE CARE PLA
NPI Enumeration Date03/08/2016

Related Entities

Other providers sharing the same authorized official: WOMBLE, TAMMY

ProviderCityStateTotal Paid
MS EYE CARE PA LOUISVILLE MS $620K
MS EYE CARE PA STARKVILLE MS $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,170 $444K
2019 19,870 $471K
2020 17,361 $475K
2021 21,357 $686K
2022 24,509 $855K
2023 31,097 $941K
2024 15,866 $497K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25,632 22,855 $1.71M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,187 6,559 $639K
V2020 Frames, purchases 23,473 20,885 $610K
92015 Determination of refractive state 31,263 28,256 $417K
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 3,772 3,543 $264K
92340 Fitting of spectacles, except for aphakia; monofocal 19,532 17,398 $258K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5,788 5,061 $155K
V2784 Lens, polycarbonate or equal, any index, per lens 10,374 8,891 $98K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,606 2,205 $75K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,380 1,976 $70K
92250 2,594 2,252 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 477 353 $16K
83861 1,764 883 $14K
99305 102 92 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 114 91 $2K
V2430 Variable asphericity lens, bifocal, full field, glass or plastic, per lens 13 13 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65 51 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 18 18 $917.33
92341 133 103 $901.32
92083 77 68 $607.95
92133 99 88 $328.98
92273 20 15 $249.88
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,163 2,074 $177.61
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 1,767 1,674 $85.01
1036F 4,344 4,090 $50.22
3284F 144 142 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,542 2,391 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 14 14 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 842 805 $0.00
G8785 Blood pressure reading not documented, reason not given 513 495 $0.00
2027F 190 186 $0.00
2022F 79 78 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 49 29 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 59 58 $0.00
5010F 14 14 $0.00
G9905 Patient not screened for tobacco use 27 25 $0.00