Medicaid Provider Spending

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

ROANOKE FAMILY EYECARE

NPI: 1952724924 · SOUTHLAKE, TX 76092 · Optometrist · NPI assigned 01/28/2014

$738.74
Total Medicaid Paid
52
Total Claims
50
Beneficiaries
1
Codes Billed
2021-04
First Month
2021-10
Last Month

Provider Details

Authorized OfficialDAVIS, NANCY (CEO)
NPI Enumeration Date01/28/2014

Related Entities

Other providers sharing the same authorized official: DAVIS, NANCY

ProviderCityStateTotal Paid
DAVIS PHARMACY E MILLINOCKET ME $262K
COMMUNITY CHIROPRACTIC CLINICS PC SYRACUSE NE $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 52 $738.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 52 50 $738.74