Medicaid Provider Spending

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

JAVEN D. HOLM OD PA

NPI: 1093874364 · FAIRMONT, MN 56031 · Optometrist · NPI assigned 12/06/2006

$14K
Total Medicaid Paid
1,953
Total Claims
1,752
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialHOLM, JAVEN (OWNER)
NPI Enumeration Date12/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 887 $253.54
2019 617 $6K
2020 272 $5K
2021 177 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 134 129 $7K
92015 Determination of refractive state 456 420 $4K
V2020 Frames, purchases 127 110 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 68 28 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 32 26 $306.96
1036F 226 208 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 199 182 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 178 158 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 425 392 $0.00
G8785 Blood pressure reading not documented, reason not given 108 99 $0.00