Medicaid Provider Spending

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

OCHOCO VISION SOURCE LLP

NPI: 1134172687 · PRINEVILLE, OR 97754 · Eyewear Supplier · NPI assigned 05/18/2006

$57K
Total Medicaid Paid
1,198
Total Claims
1,167
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHOLLAND, ALISHIA (BILLING AGENT)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: HOLLAND, ALISHIA

ProviderCityStateTotal Paid
HIGH DESERT EYECARE REDMOND OR $258K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 136 $7K
2019 200 $10K
2020 129 $7K
2021 225 $8K
2022 98 $1K
2023 302 $19K
2024 108 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 268 262 $21K
92340 Fitting of spectacles, except for aphakia; monofocal 441 423 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 109 109 $11K
92015 Determination of refractive state 380 373 $4K