Medicaid Provider Spending

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

SOUTHERN COLORADO FAMILY EYE CARE, PC

NPI: 1881134963 · FOUNTAIN, CO 80906 · Optometrist · NPI assigned 03/08/2017

$45K
Total Medicaid Paid
1,016
Total Claims
984
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialKAMEOKA, JIRO (PRESIDENT)
NPI Enumeration Date03/08/2017

Related Entities

Other providers sharing the same authorized official: KAMEOKA, JIRO

ProviderCityStateTotal Paid
SOUTHERN COLORADO FAMILY EYE CARE, PC FOUNTAIN CO $214K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $21K
2019 471 $19K
2020 97 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 382 371 $43K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27 26 $3K
92015 Determination of refractive state 607 587 $39.30