Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › FAIRLAWN › SUMMIT FAMILY VISION LLC

SUMMIT FAMILY VISION LLC

NPI: 1962065672 · FAIRLAWN, OH 44333 · Optometrist · NPI assigned 04/17/2019

$3K
Total Medicaid Paid
95
Total Claims
95
Beneficiaries
2
Codes Billed
2019-11
First Month
2020-08
Last Month

Provider Details

Authorized OfficialHULTS, RICHARD (PRSIDENT)
NPI Enumeration Date04/17/2019

Related Entities

Other providers sharing the same authorized official: HULTS, RICHARD

ProviderCityStateTotal Paid
DR. RICHARD E. HULTS & ASSOC., INC AKRON OH $50K
WESTGATE OPTOMETRY LLC FAIRVIEW PARK OH $5K
RICHMOND FAMILY VISION LLC RICHMOND HEIGHTS OH $4K
DR. RICHARD E. HULTS & ASSOC., INC. CANTON OH $4K
BELDEN OPTOMETRY LLC CANTON OH $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 33 $1K
2020 62 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 66 66 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29 29 $1K