Medicaid Provider Spending

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

JERRY R. PEDERSON, O.D., P.C.

NPI: 1073742938 · CENTENNIAL, CO 80121 · Optometrist · NPI assigned 07/13/2009

$3K
Total Medicaid Paid
27
Total Claims
26
Beneficiaries
2
Codes Billed
2022-07
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPEDERSON, JON (OWNER)
NPI Enumeration Date07/13/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15 $1K
2024 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 14 $1K