Medicaid Provider Spending

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

TIDEWATER EYECARE, LLC

NPI: 1750928164 · SUMMERVILLE, SC 29486 · Optometrist · NPI assigned 12/04/2019

$4K
Total Medicaid Paid
250
Total Claims
250
Beneficiaries
2
Codes Billed
2022-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHOOD, JEFFREY (OWNER)
NPI Enumeration Date12/04/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 101 $2K
2023 69 $2K
2024 80 $870.81

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 226 226 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24 24 $2K