Medicaid Provider Spending

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

SANTA YNEZ VALLEY VISION SOURCE INC

NPI: 1124167903 · SOLVANG, CA 93463 · 152W00000X

$5K
Total Medicaid Paid
134
Total Claims
134
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 54 54 $2K
92004 45 45 $2K
V2100 Lens spher single plano 4.00 18 18 $603.00
V2020 Vision svcs frames purchases 17 17 $362.27