Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › PALATINE › GUSTAFSON, THOMAS

GUSTAFSON, THOMAS

NPI: 1164492096 · PALATINE, IL 60067 · 152W00000X

$12K
Total Medicaid Paid
802
Total Claims
773
Beneficiaries
7
Codes Billed
2018-06
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $450.00
2019 201 $2K
2020 129 $3K
2021 235 $4K
2022 60 $287.36
2023 36 $646.56
2024 59 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 264 264 $5K
92012 71 60 $3K
92014 392 392 $2K
V2100 Lens spher single plano 4.00 22 13 $1K
V2025 Eyeglasses delux frames 21 12 $226.80
92004 18 18 $135.00
99214 14 14 $0.00