Medicaid Provider Spending

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

NPI: 1104980234 · LONGMONT, CO 80501 · Optometrist · NPI assigned 12/21/2006

$12K
Total Medicaid Paid
468
Total Claims
429
Beneficiaries
3
Codes Billed
2020-11
First Month
2022-11
Last Month

Provider Details

Authorized OfficialKAMINSKI, JASON (OWNER)
NPI Enumeration Date12/21/2006

Related Entities

Other providers sharing the same authorized official: KAMINSKI, JASON

ProviderCityStateTotal Paid
VISION SOURCE FIRESTONE, PC FIRESTONE CO $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 17 $26.74
2021 152 $2K
2022 299 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 101 95 $11K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $1K
92015 Determination of refractive state 355 322 $203.75