Medicaid Provider Spending

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

CLEAR VISION SAN ANTONIO

NPI: 1801244298 · SAN ANTONIO, TX 78213 · Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician · NPI assigned 05/26/2016

$2K
Total Medicaid Paid
59
Total Claims
59
Beneficiaries
3
Codes Billed
2022-08
First Month
2022-09
Last Month

Provider Details

Authorized OfficialBUENTELLO LOPEZ, GABRIELA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date05/26/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 59 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $902.57
92134 32 32 $567.24
92250 12 12 $101.29