Medicaid Provider Spending

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

EYES ON MAIN, LLC

NPI: 1811567431 · FESTUS, MO 63028 · Optometrist · NPI assigned 06/26/2021

$11K
Total Medicaid Paid
213
Total Claims
200
Beneficiaries
4
Codes Billed
2022-02
First Month
2023-06
Last Month

Provider Details

Authorized OfficialWOLK, DEANNE (OPTOMETRIST)
NPI Enumeration Date06/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 98 $3K
2023 115 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 122 116 $11K
V2020 Frames, purchases 12 12 $206.00
92340 Fitting of spectacles, except for aphakia; monofocal 33 33 $165.00
92015 Determination of refractive state 46 39 $156.32