Medicaid Provider Spending

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

WISE, TERESA

NPI: 1114076288 · ELIZABETHTOWN, KY 42701 · 152W00000X

$7K

Total Medicaid Paid

128

Total Claims

124

Beneficiaries

5

Codes Billed

2018-02

First Month

2020-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	70	$4K
2019	43	$3K
2020	15	$913.20

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92014		78	74	$5K
92004		12	12	$1K
92340		14	14	$555.80
V2020	Vision svcs frames purchases	12	12	$315.00
V2784	Lens polycarb or equal	12	12	$78.00