Medicaid Provider Spending

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

FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC

NPI: 1902144256 · JOHNSON CITY, TN 37601 · Vision Therapy Optometrist · NPI assigned 01/22/2013

$2K
Total Medicaid Paid
64
Total Claims
55
Beneficiaries
3
Codes Billed
2019-09
First Month
2020-08
Last Month

Provider Details

Authorized OfficialGRIST, DANA (OWNER)
NPI Enumeration Date01/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 51 $1K
2020 13 $474.86

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 32 28 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17 14 $599.79
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 15 13 $328.06