Medicaid Provider Spending

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

SEA FAMILY VISION CLINIC, PLLC

NPI: 1942962402 · MOUNTLAKE TERRACE, WA 98043 · Optometrist · NPI assigned 10/12/2021

$11K
Total Medicaid Paid
322
Total Claims
316
Beneficiaries
3
Codes Billed
2023-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSEA, SAVATEI (OWNER)
NPI Enumeration Date10/12/2021

Related Entities

Other providers sharing the same authorized official: SEA, SAVATEI

ProviderCityStateTotal Paid
BURIEN FAMILY EYE CARE, PLLC BURIEN WA $15K
SEA FAMILY EYE CARE, PLLC MERCER ISLAND WA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 42 $2K
2024 280 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 102 101 $9K
92015 Determination of refractive state 193 188 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 27 27 $585.15