Medicaid Provider Spending

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

PIONEER VALLEY EYE ASSOCIATES, PC

NPI: 1750386298 · HOLYOKE, MA 01040 · Ophthalmology Physician · NPI assigned 06/20/2005

$2.26M
Total Medicaid Paid
55,983
Total Claims
52,496
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCAUSLAN, KATHY (BILLING MANAGER)
NPI Enumeration Date06/20/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,730 $354K
2019 8,866 $369K
2020 7,100 $306K
2021 8,682 $402K
2022 7,377 $301K
2023 7,518 $269K
2024 6,710 $259K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11,431 11,164 $792K
92340 Fitting of spectacles, except for aphakia; monofocal 10,622 9,538 $299K
V2020 Frames, purchases 1,892 1,717 $219K
92015 Determination of refractive state 13,751 13,617 $177K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,608 1,600 $153K
92341 3,453 3,390 $120K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,720 1,688 $111K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,715 2,598 $90K
92083 2,540 1,937 $74K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,020 926 $71K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,299 1,245 $65K
92133 2,820 2,155 $50K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 128 128 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 235 177 $9K
92136 348 243 $5K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 38 26 $5K
92370 91 85 $1K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 17 17 $808.74
92002 13 13 $739.84
92134 34 24 $593.69
2022F 34 34 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 92 92 $0.00
1036F 82 82 $0.00