Medicaid Provider Spending

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

STEVEN D HOLMSTROM O D INC

NPI: 1164660072 · CANYON LAKE, CA 92587 · Optometrist · NPI assigned 01/30/2009

$3K
Total Medicaid Paid
225
Total Claims
225
Beneficiaries
4
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOLMSTROM, STEVEN (PRESIDENT)
NPI Enumeration Date01/30/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $194.67
2021 24 $270.70
2024 174 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 52 52 $959.00
92015 Determination of refractive state 114 114 $807.52
92340 Fitting of spectacles, except for aphakia; monofocal 44 44 $765.88
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 15 $532.50