Medicaid Provider Spending

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

BOULDER EYE CARE PROFESSIONALS LLC

NPI: 1689918799 · BOULDER, CO 80302 · Optometrist · NPI assigned 11/15/2012

$10K
Total Medicaid Paid
505
Total Claims
466
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELMONT, ASHLEE (OPTOMETRIST/OWNER)
NPI Enumeration Date11/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $0.00
2021 135 $3K
2022 117 $5K
2023 141 $1K
2024 73 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 65 58 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25 25 $3K
92015 Determination of refractive state 415 383 $50.94