Medicaid Provider Spending

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

SENIORWELL OF MISSOURI LLC

NPI: 1790276277 · SAINT LOUIS, MO 63108 · Optometrist · NPI assigned 05/21/2018

$4K
Total Medicaid Paid
435
Total Claims
261
Beneficiaries
4
Codes Billed
2019-06
First Month
2020-02
Last Month

Provider Details

Authorized OfficialKING, KENNETH (OWNER)
NPI Enumeration Date05/21/2018

Related Entities

Other providers sharing the same authorized official: KING, KENNETH

ProviderCityStateTotal Paid
PRIMEHEALTH OF INDIANA LLC INDIANAPOLIS IN $2.16M
PRIMEHEALTH OF MICHIGAN LLC DEARBORN MI $266K
KING & WIGGINS, D.M.D., P.A. NORTH CHARLESTON SC $148K
PRIMEHEALTH OF KENTUCKY LLC LOUISVILLE KY $63K
SENIORWELL POD OF OHIO LLC COLUMBUS OH $36K
PRIMEHEALTH OF OHIO LLC COLUMBUS OH $36K
SENIORWELL POD OF WISCONSIN LLC MILWAUKEE WI $10K
SENIORWELL OF WISCONSIN LLC MILWAUKEE WI $199.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 238 $1K
2020 197 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 294 161 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 53 41 $1K
92015 Determination of refractive state 72 47 $189.14
92567 16 12 $40.72