Medicaid Provider Spending

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

MOBILE VISION OF SOUTH CAROLINA, LLC

NPI: 1659731560 · LOUISVILLE, KY 40243 · Optometrist · NPI assigned 03/04/2016

$67K
Total Medicaid Paid
3,526
Total Claims
3,404
Beneficiary Records
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRITTER, DELIA (CREDENTIALING COORDINATOR)
NPI Enumeration Date03/04/2016

Related Entities

Other providers sharing the same authorized official: RITTER, DELIA

ProviderCityStateTotal Paid
MOBILE DENTAL CARE OF NEBRASKA LLC OMAHA NE $69K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 221 $3K
2019 1,147 $22K
2020 312 $12K
2021 287 $8K
2022 447 $14K
2023 734 $5K
2024 378 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,504 1,462 $36K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,314 1,279 $27K
99308 Subsequent nursing facility care, per day, straightforward 54 52 $883.09
68761 28 12 $872.56
92250 406 381 $755.25
99309 Subsequent nursing facility care, per day, low to moderate complexity 32 31 $601.60
92015 Determination of refractive state 45 45 $317.10
92273 143 142 $89.58