Medicaid Provider Spending

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

FATULA FAMILY EYE CARE PLLC

NPI: 1700297058 · DU BOIS, PA 15801 · Optometrist · NPI assigned 05/08/2014

$6K
Total Medicaid Paid
126
Total Claims
126
Beneficiaries
2
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFATULA, DANIEL (OWNER/PROVIDER)
NPI Enumeration Date05/08/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 126 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 114 114 $5K
S0620 Routine ophthalmological examination including refraction; new patient 12 12 $540.00