SACRAMENTO EYE CONSULTANTS A MED CORP

$118K

Total Medicaid Paid

7,243

Total Claims

7,038

Beneficiaries

21

Codes Billed

2018-01

First Month

2024-10

Last Month

Authorized Official	BRUBAKER, JACOB (PHYSICIAN)
NPI Enumeration Date	11/17/2006

Code	Description	Claims	Beneficiaries	Total Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2,885	2,740	$42K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	452	416	$41K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	606	606	$10K
92136		1,109	1,100	$10K
92133		890	887	$7K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	129	129	$1K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	54	54	$1K
92083		214	214	$1K
92250		75	74	$983.10
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	66	66	$735.46
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	162	154	$679.68
92082		83	82	$547.45
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	27	27	$472.55
92134		58	58	$300.45
92025		57	57	$272.32
65820		14	13	$210.91
92020		57	57	$193.45
76514		43	43	$80.06
3074F		90	90	$0.00
3077F		25	25	$0.00
3078F		147	146	$0.00

Medicaid Provider Spending