Medicaid Provider Spending

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

PROLIANCE SURGEONS, INC., P.S.

NPI: 1952835035 · TACOMA, WA 98405 · Ophthalmology Physician · NPI assigned 04/17/2017

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

Authorized official FITZGERALD, DAVID controls 13+ related entities in our dataset. Read more

$36K
Total Medicaid Paid
1,746
Total Claims
1,497
Beneficiaries
11
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialFITZGERALD, DAVID (CEO)
NPI Enumeration Date04/17/2017

Related Entities

Other providers sharing the same authorized official: FITZGERALD, DAVID

ProviderCityStateTotal Paid
NEXUS COMMUNITY SERVICES CHESTER VA $1.42M
PROLIANCE SURGEONS, INC., P.S. MOUNT VERNON WA $246K
BERLIN FIRE COMPANY EMERGENCY MEDICAL SERVICES INC BERLIN MD $135K
PROLIANCE SURGEONS, INC., P.S. MOUNT VERNON WA $54K
BERLIN FIRE COMPANY INC BERLIN MD $27K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $10K
DAVID LAUREN FITZGERALD OD PA PLYMOUTH NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $6K
DAVID LAUREN FITZGERALD OD PA WILLIAMSTON NC $3K
DAVID LAUREN FITZGERALD OD PA WASHINGTON NC $3K
DAVID LAUREN FITZGERALD OD PA MOREHEAD CITY NC $2K
DAVID LAUREN FITZGERALD OD PA FARMVILLE NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,363 $28K
2019 383 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 94 88 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 233 207 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 196 165 $5K
99310 Prolong nursin fac eval 15m 266 253 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 207 197 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170 154 $4K
99306 Prolong nursin fac eval 15m 69 65 $2K
92015 Determination of refractive state 410 272 $2K
92341 42 41 $795.03
92083 31 28 $267.95
92133 28 27 $174.07