Medicaid Provider Spending

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

FLORENCE OPHTHALMOLOGY LLC

NPI: 1932314473 · FLORENCE, AL 35630 · Ophthalmology Physician · NPI assigned 05/10/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$42K
Total Medicaid Paid
16,059
Total Claims
14,367
Beneficiaries
15
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (CMO)
NPI Enumeration Date05/10/2007

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
BLUE SKY VISION EYE CARE, P.C GRAND RAPIDS MI $9.34M
VIRGINIA EYE CONSULTANTS INC NORFOLK VA $8.26M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
MONMOUTH RETINA CONSULTANTS, P.A. LITTLE SILVER NJ $476K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,533 $16K
2019 6,364 $21K
2020 2,561 $3K
2021 2,512 $339.00
2022 73 $396.00
2023 16 $126.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 259 238 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 479 451 $12K
92341 732 669 $9K
92015 Determination of refractive state 603 483 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 160 147 $3K
G9903 Patient screened for tobacco use and identified as a tobacco non-user 656 593 $0.00
1036F 2,485 2,219 $0.00
3072F 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 15 14 $0.00
G8482 Influenza immunization administered or previously received 883 786 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 739 674 $0.00
4040F 3,076 2,738 $0.00
G8785 Blood pressure reading not documented, reason not given 2,923 2,625 $0.00
2022F 25 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,012 2,693 $0.00