Medicaid Provider Spending

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

KENNEDY VISION HEALTH CENTER, LLC

NPI: 1033203963 · PLYMOUTH, MN 55441 · Optometrist · NPI assigned 10/03/2006

$46K
Total Medicaid Paid
1,961
Total Claims
1,874
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRAVERSE, ANTHONY (DOCTOR)
NPI Enumeration Date10/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 323 $2K
2019 173 $4K
2020 246 $10K
2021 296 $7K
2022 233 $5K
2023 369 $9K
2024 321 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 339 332 $25K
92015 Determination of refractive state 1,523 1,450 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 44 40 $4K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 28 27 $0.00
V2020 Frames, purchases 27 25 $0.00