Medicaid Provider Spending

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

HP PURE VISION EYE CARE PLLC

NPI: 1699905695 · GRAND PRAIRIE, TX 75051 · Optometrist · NPI assigned 07/24/2009

$78K
Total Medicaid Paid
1,613
Total Claims
1,598
Beneficiaries
3
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTRAN, MYCHELE (THERAPEUTIC OPTOMETRIST)
NPI Enumeration Date07/24/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 39 $2K
2021 534 $24K
2022 512 $25K
2023 354 $17K
2024 174 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,233 1,219 $60K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 316 315 $16K
92340 Fitting of spectacles, except for aphakia; monofocal 64 64 $1K