Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ALPHA EYE CITY LINE, LLC

NPI: 1740883297 · PHILADELPHIA, PA 19151 · Optometrist · NPI assigned 11/18/2020

$2K
Total Medicaid Paid
85
Total Claims
85
Beneficiaries
2
Codes Billed
2024-02
First Month
2024-05
Last Month

Provider Details

Authorized OfficialBREWER, GRETCHEN (OWNER)
NPI Enumeration Date11/18/2020

Related Entities

Other providers sharing the same authorized official: BREWER, GRETCHEN

ProviderCityStateTotal Paid
ALPHA OPTICAL DOYLESTOWN, LLC DOYLESTOWN PA $2K
GRETCHEN J BREWER, OD & ASSOCIATES, INC PHILADELPHIA PA $72.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 85 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 38 38 $2K
92015 Determination of refractive state 47 47 $40.00