Medicaid Provider Spending

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

SHORELINE OPHTHALMOLOGY, PLLC

NPI: 1679643670 · MUSKEGON, MI 49444 · Ophthalmology Physician · NPI assigned 11/08/2006

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

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

$3.10M
Total Medicaid Paid
84,659
Total Claims
82,829
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (OWNER)
NPI Enumeration Date11/08/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
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
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 13,028 $464K
2019 13,573 $469K
2020 10,292 $350K
2021 12,933 $456K
2022 13,005 $519K
2023 12,610 $496K
2024 9,218 $345K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,881 8,740 $387K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,580 5,528 $361K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,471 6,321 $329K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,531 7,156 $319K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,556 1,256 $312K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,953 3,915 $291K
92015 Determination of refractive state 25,058 24,805 $224K
J0178 Injection, aflibercept, 1 mg 151 150 $192K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,076 3,066 $184K
S0620 Routine ophthalmological examination including refraction; new patient 1,565 1,553 $73K
67028 Intravitreal injection of a pharmacologic agent 1,831 1,749 $65K
92250 3,574 3,545 $59K
92083 2,119 2,101 $55K
92134 3,597 3,484 $50K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,332 1,239 $49K
92133 2,975 2,945 $44K
92136 2,402 2,286 $40K
S0621 Routine ophthalmological examination including refraction; established patient 617 617 $28K
V2020 Frames, purchases 813 813 $18K
92340 Fitting of spectacles, except for aphakia; monofocal 440 440 $7K
J9035 Injection, bevacizumab, 10 mg 81 79 $3K
92310 193 193 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 130 123 $3K
76514 561 553 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 122 122 $981.00
J3590 Unclassified biologics 12 12 $910.84
92341 26 26 $588.88
92285 12 12 $106.02