Medicaid Provider Spending

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

VITREO RETINAL CENTER PC

NPI: 1841333036 · EVANSVILLE, IN 47714 · Ophthalmology Physician · NPI assigned 02/15/2007

$9K
Total Medicaid Paid
1,015
Total Claims
796
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialSAMUEL, PRINCE (OWNER)
NPI Enumeration Date02/15/2007

Related Entities

Other providers sharing the same authorized official: SAMUEL, PRINCE

ProviderCityStateTotal Paid
TREASURE LIFE HEALTHCARE SERVICES, INC. DALLAS TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 606 $5K
2019 348 $4K
2020 61 $739.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92134 678 552 $4K
J9035 Injection, bevacizumab, 10 mg 101 80 $2K
67028 Intravitreal injection of a pharmacologic agent 177 114 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 14 $972.98
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 16 12 $107.34
J3590 Unclassified biologics 16 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00