Medicaid Provider Spending

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

LA GRANGE EYE CARE, PLLC

NPI: 1851775050 · LA GRANGE, TX 78945 · Optometrist · NPI assigned 07/17/2015

$5K
Total Medicaid Paid
112
Total Claims
77
Beneficiaries
4
Codes Billed
2021-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialSOLLY, PAMELA (OWNER)
NPI Enumeration Date07/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 39 $2K
2022 36 $2K
2023 37 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 72 37 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14 14 $630.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $585.00
S0621 Routine ophthalmological examination including refraction; established patient 13 13 $585.00