Medicaid Provider Spending

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

MOUNT VERNON VISION SOURCE PS INC

NPI: 1093912933 · MOUNT VERNON, WA 98273 · Optometrist · NPI assigned 07/02/2007

$683.91
Total Medicaid Paid
62
Total Claims
62
Beneficiaries
1
Codes Billed
2018-04
First Month
2023-07
Last Month

Provider Details

Authorized OfficialJONES, TOD (OWNER)
NPI Enumeration Date07/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $283.68
2019 12 $139.92
2020 13 $139.20
2023 12 $121.11

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 62 62 $683.91