Medicaid Provider Spending

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

GRANVILLE VISION CENTER LLC

NPI: 1083230858 · GRANVILLE, OH 43023 · Optometrist · NPI assigned 06/17/2020

$2K
Total Medicaid Paid
184
Total Claims
174
Beneficiaries
3
Codes Billed
2021-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialTYLER, JENNA (OWNER)
NPI Enumeration Date06/17/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $60.00
2022 16 $72.00
2023 76 $626.94
2024 80 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 154 146 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 15 $911.43
V2020 Frames, purchases 14 13 $180.00