Medicaid Provider Spending

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

ROBERTSON, BOYD

NPI: 1053479410 · KENNEWICK, WA 99336 · 152W00000X

$4K

Total Medicaid Paid

180

Total Claims

171

Beneficiaries

4

Codes Billed

2021-05

First Month

2021-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	180	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92004		25	25	$2K
V2020	Vision svcs frames purchases	46	46	$885.50
V2100	Lens spher single plano 4.00	24	24	$597.12
92015		85	76	$70.00