Medicaid Provider Spending

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

ATASCOSA VISION SOURCE,PA

NPI: 1104037415 · PLEASANTON, TX 78064 · Optometrist

$14K
Total Medicaid Paid
796
Total Claims
782
Beneficiaries
6
Codes Billed
2018-04
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 404 $6K
2019 137 $2K
2021 138 $3K
2022 30 $587.22
2023 75 $2K
2024 12 $141.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 307 300 $8K
92014 177 176 $3K
92015 260 257 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 19 16 $653.38
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 16 16 $478.25
99213 17 17 $0.00