Medicaid Provider Spending

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

EYE CENTERS OF RACINE AND KENOSHA LTD

NPI: 1710905781 · MT PLEASANT, WI 53177 · Optometrist · NPI assigned 07/18/2006

$116K
Total Medicaid Paid
5,758
Total Claims
4,811
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGOTTFREDSEN, MELISSA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date07/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,108 $28K
2019 866 $15K
2020 671 $13K
2021 620 $8K
2022 619 $14K
2023 1,341 $23K
2024 533 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,590 1,363 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 516 455 $16K
92015 Determination of refractive state 2,075 1,709 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 184 170 $12K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 60 41 $11K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 330 286 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 249 214 $7K
92083 199 152 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 148 115 $2K
92250 105 89 $1K
92341 41 39 $1K
92136 48 24 $808.96
92133 30 25 $708.42
68841 45 28 $530.16
76514 32 24 $207.53
92020 18 13 $161.40
92145 88 64 $19.03