Medicaid Provider Spending

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

MUD SPRINGS VISION CLINIC, INC.

NPI: 1043554686 · WHEATLAND, WY 82201 · Optometrist · NPI assigned 11/20/2012

$10K
Total Medicaid Paid
736
Total Claims
703
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHAZEN, JAIME (OWNER)
NPI Enumeration Date11/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 191 $664.02
2019 85 $234.36
2020 125 $429.66
2021 57 $438.06
2022 62 $952.50
2023 142 $4K
2024 74 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 298 288 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39 37 $3K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 25 12 $910.30
V2020 Frames, purchases 13 12 $785.70
92340 Fitting of spectacles, except for aphakia; monofocal 13 12 $275.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 122 122 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 27 27 $0.00
G9905 Patient not screened for tobacco use 15 13 $0.00
1036F 184 180 $0.00