Medicaid Provider Spending

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

PETT, REED

NPI: 1023626827 · STROUDSBURG, PA 18360 · 152W00000X

$8K

Total Medicaid Paid

163

Total Claims

163

Beneficiaries

4

Codes Billed

2021-06

First Month

2022-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	111	$6K
2022	52	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99204		43	43	$4K
92250		71	71	$3K
V2020	Vision svcs frames purchases	36	36	$825.00
V2784	Lens polycarb or equal	13	13	$80.00