Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › HOUMA › BOURG, OTIS

BOURG, OTIS

NPI: 1114009313 · HOUMA, LA 70360 · Optometrist · NPI assigned 10/19/2006

$1.12M
Total Medicaid Paid
37,398
Total Claims
36,545
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,277 $388K
2019 12,206 $379K
2020 7,055 $208K
2021 5,860 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,386 4,282 $317K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,256 3,190 $284K
V2020 Frames, purchases 11,033 10,714 $206K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,228 5,121 $110K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3,391 3,303 $68K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,220 5,098 $68K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 277 267 $18K
V2784 Lens, polycarbonate or equal, any index, per lens 243 242 $14K
92015 Determination of refractive state 3,235 3,214 $11K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 434 425 $10K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 57 57 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 54 53 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 129 128 $3K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 99 96 $2K
2023F 356 355 $0.00