Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › EXCELSIOR › VISIONARY EYE CARE, PA

VISIONARY EYE CARE, PA

NPI: 1811430226 · EXCELSIOR, MN 55331 · Optometrist · NPI assigned 12/02/2016

$12K
Total Medicaid Paid
372
Total Claims
368
Beneficiaries
2
Codes Billed
2019-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialELTON, THOMAS (OWNER)
NPI Enumeration Date12/02/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $183.30
2020 86 $2K
2021 199 $8K
2022 61 $845.37
2024 12 $156.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 76 75 $8K
92015 Determination of refractive state 296 293 $4K