Medicaid Provider Spending

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

SUMMIT EYE CLINIC SC

NPI: 1679520845 · OCONOMOWOC, WI 53066 · Optometrist · NPI assigned 05/31/2006

$2K
Total Medicaid Paid
78
Total Claims
73
Beneficiaries
2
Codes Billed
2018-10
First Month
2021-04
Last Month

Provider Details

Authorized OfficialPRESTASH, RANDY (PRESIDENT)
NPI Enumeration Date05/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $720.57
2019 13 $108.17
2021 34 $726.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31 29 $1K
92015 Determination of refractive state 47 44 $384.33