Medicaid Provider Spending

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

INDIGO VISION CENTER PA

NPI: 1700071149 · GEORGETOWN, SC 29440 · Optometrist · NPI assigned 09/10/2007

$1.28M
Total Medicaid Paid
39,904
Total Claims
38,096
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, OWEN (OWNER)
NPI Enumeration Date09/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,880 $172K
2019 5,570 $167K
2020 5,552 $170K
2021 6,186 $175K
2022 7,186 $230K
2023 5,726 $199K
2024 4,804 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,670 6,568 $468K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,572 3,493 $289K
92340 Fitting of spectacles, except for aphakia; monofocal 8,753 8,612 $154K
92015 Determination of refractive state 10,085 9,920 $141K
92250 2,558 2,439 $74K
V2784 Lens, polycarbonate or equal, any index, per lens 2,458 2,444 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 876 766 $42K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,137 1,428 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 445 394 $18K
V2020 Frames, purchases 285 282 $10K
92083 204 173 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 615 418 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 81 65 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 105 71 $892.22
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 492 479 $0.00
G9905 Patient not screened for tobacco use 568 544 $0.00