Medicaid Provider Spending

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

PEDIATRIC OPHTHALMOLOGY ASSOCIATES INC.

NPI: 1831257161 · COLUMBUS, OH 43205 · Ophthalmology Physician · NPI assigned 12/06/2006

$9.60M
Total Medicaid Paid
274,911
Total Claims
259,713
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, PHYNESIA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date12/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,039 $1.53M
2019 40,425 $1.46M
2020 29,466 $1.06M
2021 35,996 $1.25M
2022 40,182 $1.39M
2023 43,831 $1.44M
2024 42,972 $1.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,782 37,206 $2.37M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23,371 22,509 $1.96M
92060 83,221 79,818 $1.61M
92015 Determination of refractive state 76,168 73,274 $1.48M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,211 26,116 $1.14M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,574 9,099 $537K
99233 Prolong inpt eval add15 m 6,085 4,258 $242K
92201 4,832 3,276 $84K
67311 97 94 $51K
92340 Fitting of spectacles, except for aphakia; monofocal 1,822 1,811 $32K
99254 461 444 $31K
92226 2,465 1,017 $29K
99222 Initial hospital care, per day, moderate complexity 136 128 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 154 153 $5K
V2020 Frames, purchases 188 184 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 64 61 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 187 184 $2K
99223 Prolong inpt eval add15 m 27 27 $2K
V2523 Contact lens, hydrophilic, extended wear, per lens 26 14 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27 27 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 13 $416.00