Medicaid Provider Spending

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

RYAN PETERSON O.D., INC.

NPI: 1013933704 · NELLIS AFB, NV 89191 · Optometrist · NPI assigned 07/14/2006

$7K
Total Medicaid Paid
170
Total Claims
169
Beneficiaries
6
Codes Billed
2018-08
First Month
2018-12
Last Month

Provider Details

Authorized OfficialPETERSON, RYAN (OWNER)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: PETERSON, RYAN

ProviderCityStateTotal Paid
ROCKY MOUNTAIN EYE SURGERY CENTER INC MISSOULA MT $381K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 68 68 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 41 41 $2K
V2020 Frames, purchases 17 17 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $744.00
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $401.04
92015 Determination of refractive state 20 19 $338.04