Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › 1104825900

1104825900

NPI: 1104825900

$667K
Total Medicaid Paid
17,705
Total Claims
16,004
Beneficiaries
15
Codes Billed
2018-01
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,642 $142K
2019 5,459 $224K
2020 2,362 $100K
2021 4,489 $170K
2022 753 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 2,616 2,426 $209K
V2020 Frames, purchases 4,182 3,747 $112K
92004 954 858 $91K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,610 1,366 $67K
92250 1,143 1,030 $49K
92015 3,747 3,465 $47K
V2755 U-v lens, per lens 1,985 1,844 $43K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 958 857 $29K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 316 231 $15K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 44 41 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 46 38 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 51 50 $633.00
V2299 Specialty bifocal (by report) 13 13 $490.10
V2750 Anti-reflective coating, per lens 25 24 $85.04
V2781 Progressive lens, per lens 15 14 $0.00