Medicaid Provider Spending

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

RJM OD LLC

NPI: 1093330508 · EXCELSIOR SPRINGS, MO 64024 · Optometrist · NPI assigned 06/10/2020

$12K
Total Medicaid Paid
555
Total Claims
470
Beneficiaries
5
Codes Billed
2020-08
First Month
2021-09
Last Month

Provider Details

Authorized OfficialMILJAVAC, REMI (DR OF OPTOMETRY/ OWNER)
NPI Enumeration Date06/10/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 151 $3K
2021 404 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 115 114 $6K
V2020 Frames, purchases 132 130 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 75 38 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 97 54 $1K
92015 136 134 $727.60