Medicaid Provider Spending

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

MT OGDEN EYE CENTER LLC

NPI: 1740431428 · BOUNTIFUL, UT 84010 · Eyewear Supplier · NPI assigned 10/01/2008

$17K
Total Medicaid Paid
822
Total Claims
742
Beneficiaries
4
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOWELL, SARAH (CREDENTIALING MANAGER)
NPI Enumeration Date10/01/2008

Related Entities

Other providers sharing the same authorized official: HOWELL, SARAH

ProviderCityStateTotal Paid
MT OGDEN EYE CENTER LLC OGDEN UT $406K
HOWELL THERAPY LLC LOVELAND CO $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 135 $4K
2023 325 $5K
2024 362 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 212 203 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 189 165 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 14 $520.64
92015 Determination of refractive state 403 360 $421.96