Medicaid Provider Spending

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

CLIFFORD L. HOLT, O.D.,P.A.

NPI: 1013282268 · SHAWNEE, KS 66203 · Optometrist · NPI assigned 03/20/2012

$3K
Total Medicaid Paid
244
Total Claims
240
Beneficiaries
4
Codes Billed
2018-03
First Month
2019-09
Last Month

Provider Details

Authorized OfficialHOLT, JULIE (VICE PRESIDENT)
NPI Enumeration Date03/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 156 $3K
2019 88 $270.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 18 18 $850.17
92015 Determination of refractive state 183 180 $674.10
V2020 Frames, purchases 24 23 $654.17
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 19 19 $653.12