Medicaid Provider Spending

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

ELLINGTON EYECARE PLLC

NPI: 1861130403 · MC COOK, NE 69001 · Optometrist · NPI assigned 05/24/2022

$55K
Total Medicaid Paid
1,278
Total Claims
1,259
Beneficiaries
4
Codes Billed
2023-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEVANS, JACQUELINE (OWNER/PRESIDENT)
Parent OrganizationELLINGTON EYECARE PLLC
NPI Enumeration Date05/24/2022

Related Entities

Other providers sharing the same authorized official: EVANS, JACQUELINE

ProviderCityStateTotal Paid
ELLINGTON EYECARE PLLC ENGLEWOOD CO $322K
ELLINGTON EYECARE PLLC OAKLAND MD $135K
ELLINGTON EYECARE PLLC WESTMINSTER CO $25K
ELLINGTON EYECARE PLLC LA JUNTA CO $14K
ELLINGTON EYECARE PLLC CANON CITY CO $10K
ELLINGTON EYECARE PLLC COLORADO SPRINGS CO $6K
ELLINGTON EYECARE PLLC DENVER CO $5K
ELLINGTON EYECARE PLLC AUBURN ME $4K
ELLINGTON EYECARE PLLC PUEBLO CO $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 204 $10K
2024 1,074 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 540 534 $41K
92015 Determination of refractive state 617 606 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 52 50 $3K
2024F 69 69 $0.00