PREMIER EYE CARE OF EASTERN IDAHO
NPI: 1790052603
· IDAHO FALLS, ID 83404
· 207W00000X
$1.44M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
729 |
$18K |
| 2019 |
811 |
$24K |
| 2020 |
1,015 |
$49K |
| 2021 |
1,577 |
$90K |
| 2022 |
2,153 |
$397K |
| 2023 |
2,403 |
$519K |
| 2024 |
2,174 |
$338K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2778 |
Ranibizumab injection |
1,245 |
1,152 |
$1.00M |
| 67028 |
|
3,212 |
2,878 |
$180K |
| 92134 |
|
3,087 |
2,681 |
$70K |
| 92014 |
|
1,076 |
1,013 |
$56K |
| 99214 |
|
683 |
635 |
$40K |
| J9035 |
Bevacizumab injection |
291 |
279 |
$20K |
| 99213 |
|
243 |
241 |
$17K |
| 92012 |
|
247 |
231 |
$14K |
| Q5128 |
Inj, cimerli, 0.1 mg |
14 |
14 |
$12K |
| 92004 |
|
102 |
101 |
$11K |
| 92250 |
|
278 |
263 |
$7K |
| J7999 |
Compounded drug, noc |
246 |
216 |
$4K |
| 99203 |
|
28 |
28 |
$3K |
| 92133 |
|
54 |
52 |
$694.23 |
| 99212 |
|
17 |
15 |
$563.55 |
| 92015 |
|
39 |
37 |
$180.09 |