Medicaid Provider Spending

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

HELFRICH, MATTHIAS

NPI: 1851480826 · ELYRIA, OH 44035 · Optometrist · NPI assigned 10/11/2006

$1.35M
Total Medicaid Paid
63,833
Total Claims
61,428
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,951 $217K
2019 8,453 $216K
2020 10,289 $192K
2021 12,151 $220K
2022 10,480 $224K
2023 8,043 $149K
2024 6,466 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,586 8,441 $345K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,515 3,410 $221K
V2020 Frames, purchases 10,085 9,877 $140K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,188 5,032 $110K
92340 Fitting of spectacles, except for aphakia; monofocal 4,673 4,585 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 931 910 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,823 1,791 $74K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,564 1,519 $62K
92250 2,849 2,780 $60K
92015 Determination of refractive state 6,978 6,656 $54K
V2784 Lens, polycarbonate or equal, any index, per lens 5,401 4,902 $43K
92341 664 652 $17K
92083 640 627 $15K
92134 1,116 1,092 $14K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 429 420 $13K
92133 323 311 $4K
V2520 Contact lens, hydrophilic, spherical, per lens 30 27 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 156 121 $830.04
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 12 $77.34
3072F 1,339 1,237 $0.03
1036F 1,734 1,601 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,718 1,588 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 273 259 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 64 63 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 46 42 $0.00
99058 98 95 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,221 2,051 $0.00
G8785 Blood pressure reading not documented, reason not given 1,198 1,161 $0.00
4004F 60 56 $0.00
5010F 39 38 $0.00
2022F 65 58 $0.00
G9905 Patient not screened for tobacco use 14 14 $0.00