Medicaid Provider Spending

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

MOTHERSHED OPTOMETRY ASSOCIATES PLLC

NPI: 1831140300 · TUPELO, MS 38804 · Optometrist · NPI assigned 05/12/2006

$66K
Total Medicaid Paid
14,986
Total Claims
13,955
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBYRD, SONDRA (BUSINESS OFFICE MANAGER)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: BYRD, SONDRA

ProviderCityStateTotal Paid
TUPELO SURGERY CENTER, L.L.C. TUPELO MS $346K
WESSON OPHTHALMOLOGY ASSOCIATES P.L.L.C. TUPELO MS $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,512 $27K
2019 5,309 $20K
2020 1,812 $9K
2021 1,408 $8K
2022 485 $3K
2023 353 $0.00
2024 107 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,148 1,021 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 244 243 $16K
92015 Determination of refractive state 951 931 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 98 96 $9K
1036F 1,882 1,747 $289.15
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,376 2,184 $103.74
G9910 Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period 13 12 $12.32
92134 12 12 $11.61
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,791 1,664 $8.24
2027F 113 111 $8.13
G8420 Bmi is documented within normal parameters and no follow-up plan is required 769 712 $0.00
1123F 355 340 $0.00
3284F 38 38 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 87 84 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 27 27 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 89 89 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 956 880 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 1,472 1,360 $0.00
4040F 1,208 1,133 $0.00
G8482 Influenza immunization administered or previously received 1,194 1,122 $0.00
G8421 Bmi not documented and no reason is given 79 70 $0.00
G8484 Influenza immunization was not administered, reason not given 42 39 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 15 15 $0.00
0517F 14 13 $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 13 12 $0.00