Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SVE MANAGEMENT OF MANHATTAN, LLC

NPI: 1952907602 · MANHATTAN, KS 66502 · Optometrist · NPI assigned 12/08/2020

$8K
Total Medicaid Paid
823
Total Claims
753
Beneficiaries
3
Codes Billed
2021-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDAVYDOVA, ROSE (AUTHORIZED OFFICIAL)
NPI Enumeration Date12/08/2020

Related Entities

Other providers sharing the same authorized official: DAVYDOVA, ROSE

ProviderCityStateTotal Paid
SUCCESS VISION EXPRESS OF TULSA, LLC TULSA OK $3.15M
SUCCESS VISION EXPRESS OF SAND SPRINGS, LLC SAND SPRINGS OK $1.52M
SUCCESS VISION EYECARE OF CAPE, LLC CAPE GIRARDEAU MO $138K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 187 $171.36
2022 257 $2K
2023 296 $6K
2024 83 $350.28

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 74 71 $6K
92015 Determination of refractive state 699 632 $3K
99072 50 50 $0.00