Medicaid Provider Spending

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

SPECTRUM EYECARE OPTOMETRY INC

NPI: 1801949573 · SAN DIMAS, CA 91773 · Optometrist · NPI assigned 01/18/2007

$1.38M
Total Medicaid Paid
153,785
Total Claims
153,073
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSWEARINGEN, DAVID (PRESIDENT AND CFO)
NPI Enumeration Date01/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,639 $184K
2019 28,964 $240K
2020 21,581 $156K
2021 22,733 $201K
2022 19,427 $201K
2023 22,089 $196K
2024 15,352 $205K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16,314 16,250 $396K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20,306 20,238 $386K
V2020 Frames, purchases 11,935 11,870 $162K
92341 7,561 7,523 $150K
92015 Determination of refractive state 26,601 26,503 $144K
92340 Fitting of spectacles, except for aphakia; monofocal 3,303 3,282 $48K
92273 704 494 $44K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2,578 2,570 $27K
92002 881 875 $14K
92250 714 714 $11K
92020 242 242 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 21 21 $314.60
G8785 Blood pressure reading not documented, reason not given 1,283 1,278 $0.00
G8484 Influenza immunization was not administered, reason not given 3,317 3,307 $0.00
G8482 Influenza immunization administered or previously received 1,710 1,710 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 2,614 2,608 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,406 8,390 $0.00
G8421 Bmi not documented and no reason is given 2,499 2,492 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 3,253 3,242 $0.00
2022F 189 189 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 3,946 3,940 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 173 173 $0.00
4040F 4,790 4,779 $0.00
G9989 Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., adverse reaction to vaccine) 527 527 $0.00
3046F 3,045 3,033 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,350 1,349 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 124 124 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 92 92 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 26 26 $0.00
M1168 Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period 81 81 $0.00
2027F 28 28 $0.00
M1170 Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period 42 39 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,752 2,751 $0.00
1123F 7,435 7,422 $0.00
1036F 5,387 5,376 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 1,028 1,027 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,902 2,895 $0.00
3072F 2,039 2,037 $0.00
G8756 No documentation of blood pressure measurement, reason not given 1,167 1,163 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 952 951 $0.00
3284F 147 147 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 752 749 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 68 68 $0.00
M1177 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 54 54 $0.00
2023F 151 151 $0.00
G8732 No documentation of pain assessment, reason not given 19 19 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 132 132 $0.00
99350 Prolong home eval add 15m 12 12 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 51 51 $0.00
M1179 Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 19th birthday and before or during measurement period 69 66 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 13 13 $0.00