Medicaid Provider Spending

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

SUNRISE VISION CARE

NPI: 1982933586 · TAWAS CITY, MI 48763 · Optometrist · NPI assigned 12/10/2009

$2K
Total Medicaid Paid
111
Total Claims
111
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialMOON, SUSAN (MANAGER MEMBER)
NPI Enumeration Date12/10/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $1K
2019 56 $609.95
2021 12 $126.39
2024 16 $194.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 84 84 $930.58
S0620 Routine ophthalmological examination including refraction; new patient 14 14 $700.00
S0621 Routine ophthalmological examination including refraction; established patient 13 13 $650.00