Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EYE PROS OF LOGAN LLC

NPI: 1043702046 · LOGAN, UT 84341 · Optometrist · NPI assigned 06/05/2018

$665.34
Total Medicaid Paid
102
Total Claims
92
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKOFOED, LAVAR (OWNER)
NPI Enumeration Date06/05/2018

Related Entities

Other providers sharing the same authorized official: KOFOED, LAVAR

ProviderCityStateTotal Paid
LWK, P.C. BOISE ID $485K
EYE PROS OF OGDEN RIVERDALE UT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 37 $2.64
2023 12 $0.00
2024 53 $662.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $662.70
92015 Determination of refractive state 89 79 $2.64