Medicaid Provider Spending

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

BLUE SKY VISION EYE CARE, P.C

NPI: 1801977202 · GRAND RAPIDS, MI 49525 · Optometrist · NPI assigned 10/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$9.34M
Total Medicaid Paid
200,654
Total Claims
196,224
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (CMO)
NPI Enumeration Date10/18/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
VIRGINIA EYE CONSULTANTS INC NORFOLK VA $8.26M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
MONMOUTH RETINA CONSULTANTS, P.A. LITTLE SILVER NJ $476K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FLORENCE OPHTHALMOLOGY LLC FLORENCE AL $42K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,715 $833K
2019 30,185 $1.17M
2020 25,708 $1.14M
2021 32,341 $1.41M
2022 31,563 $1.64M
2023 31,832 $1.77M
2024 27,310 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0178 Injection, aflibercept, 1 mg 1,490 1,419 $1.86M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29,600 29,162 $1.63M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 20,346 20,191 $1.42M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2,779 2,527 $613K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,001 11,272 $487K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,561 9,145 $486K
92015 Determination of refractive state 50,778 50,218 $458K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,828 4,730 $346K
S0620 Routine ophthalmological examination including refraction; new patient 6,922 6,876 $291K
S0621 Routine ophthalmological examination including refraction; established patient 5,582 5,546 $237K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5,237 4,867 $205K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,575 3,519 $200K
67028 Intravitreal injection of a pharmacologic agent 4,119 3,852 $182K
92134 9,194 8,825 $156K
V2020 Frames, purchases 5,133 5,092 $118K
92083 3,908 3,846 $114K
92060 2,510 2,484 $88K
92133 4,171 4,109 $72K
J9035 Injection, bevacizumab, 10 mg 1,137 1,045 $67K
92002 1,470 1,403 $63K
92340 Fitting of spectacles, except for aphakia; monofocal 3,902 3,893 $61K
92136 3,088 2,994 $59K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,697 2,684 $29K
92250 1,328 1,309 $23K
J3590 Unclassified biologics 239 226 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 587 559 $15K
92341 666 665 $12K
66821 58 51 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 678 675 $6K
92310 344 342 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 428 426 $5K
92020 336 331 $4K
76514 672 671 $4K
92235 55 55 $4K
67228 14 12 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 206 203 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 39 $2K
92285 99 93 $905.23
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 35 35 $453.39
V2784 Lens, polycarbonate or equal, any index, per lens 594 587 $441.80
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 28 28 $133.33
V2108 Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens 13 13 $103.25
V2755 U-v lens, per lens 109 108 $7.44
V2760 Scratch resistant coating, per lens 38 38 $0.00
2022F 33 32 $0.00
2023F 27 27 $0.00