Medicaid Provider Spending

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

AMY J. DEVRIES, O.D., P.C.

NPI: 1164709218 · FREMONT, NE 68025 · Optometrist · NPI assigned 11/03/2011

$33K
Total Medicaid Paid
1,458
Total Claims
1,253
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialDEVRIES, AMY (OWNER/OPTOMETRIST)
NPI Enumeration Date11/03/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $10K
2019 235 $5K
2020 354 $9K
2021 421 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 412 371 $15K
92015 Determination of refractive state 692 643 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 78 77 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 113 70 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 163 92 $2K