Medicaid Provider Spending

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

ELITE PRIMARY CARE LLC

NPI: 1861732745 · CLARKSVILLE, TN 37043 · Optometrist · NPI assigned 02/28/2013

$93K
Total Medicaid Paid
17,345
Total Claims
12,939
Beneficiaries
15
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIKE, CARLO (MANAGING PARTNER)
NPI Enumeration Date02/28/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 231 $47.71
2019 179 $192.94
2020 116 $2K
2021 1,769 $29K
2022 4,225 $22K
2023 6,866 $22K
2024 3,959 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,705 2,741 $82K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 491 391 $9K
99490 Ccm add 20min 607 494 $888.51
99439 86 67 $451.83
96127 144 81 $298.25
3074F 1,907 1,452 $20.01
3079F 508 396 $10.01
3078F 1,561 1,195 $10.00
3044F 37 30 $0.00
3008F 2,984 2,213 $0.00
1036F 1,166 809 $0.00
3075F 59 47 $0.00
1159F 2,020 1,488 $0.00
1160F 2,013 1,493 $0.00
3077F 57 42 $0.00