Medicaid Provider Spending

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

GEM STATE FAMILY EYECARE, P.C.

NPI: 1154690923 · BOISE, ID 83703 · Optometrist · NPI assigned 12/22/2011

$18K
Total Medicaid Paid
852
Total Claims
844
Beneficiary Records
4
Codes Billed
2018-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHOLMAN, JENNIFER (PRESIDENT)
NPI Enumeration Date12/22/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $0.00
2019 49 $786.25
2020 200 $3K
2021 196 $7K
2022 166 $3K
2023 120 $2K
2024 108 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 101 101 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 53 53 $7K
92015 Determination of refractive state 670 662 $936.81
92250 28 28 $739.90