MICHIGAN EYE CLINIC PC

$328K

Total Medicaid Paid

11,510

Total Claims

10,975

Beneficiaries

22

Codes Billed

2018-01

First Month

2024-12

Last Month

Authorized Official	FAKIH, ALI (OWNER)
NPI Enumeration Date	07/21/2011

Provider	City	State	Total Paid
MOBILE PHYSICIAN GROUP, PLLC	DEARBORN	MI	$10K

Code	Description	Claims	Beneficiaries	Total Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	1,304	1,299	$78K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	837	835	$35K
S0621	Routine ophthalmological examination including refraction; established patient	727	727	$32K
V2020	Frames, purchases	1,244	1,237	$29K
S0620	Routine ophthalmological examination including refraction; new patient	588	588	$25K
92250		1,222	1,222	$23K
92340	Fitting of spectacles, except for aphakia; monofocal	1,272	1,268	$22K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	221	221	$18K
92285		1,635	1,400	$16K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	226	226	$16K
92060		543	543	$15K
92341		604	599	$11K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	447	336	$4K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	144	94	$1K
92226		121	64	$883.95
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	103	77	$690.14
92225		24	12	$579.28
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	48	41	$464.32
92202		58	44	$213.84
92015	Determination of refractive state	14	14	$155.26
V2784	Lens, polycarbonate or equal, any index, per lens	89	89	$0.00
V2756	Eye glass case	39	39	$0.00

Medicaid Provider Spending