JENSEN, SHANE
NPI: 1154422822
· PANGUITCH, UT 84759
· Optometrist
· NPI assigned 09/26/2006
$142K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184 |
$17K |
| 2019 |
369 |
$13K |
| 2020 |
345 |
$12K |
| 2021 |
504 |
$22K |
| 2022 |
579 |
$26K |
| 2023 |
671 |
$33K |
| 2024 |
477 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,162 |
1,097 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
316 |
314 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
50 |
$5K |
| 92015 |
Determination of refractive state |
1,598 |
1,542 |
$49.55 |