STANTON L ANDRIST & CASEY C BARTZ
NPI: 1164794780
· MOORHEAD, MN 56560
· 152W00000X
$1.30M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,082 |
$29K |
| 2019 |
4,398 |
$195K |
| 2020 |
3,758 |
$169K |
| 2021 |
4,244 |
$202K |
| 2022 |
4,159 |
$194K |
| 2023 |
5,344 |
$246K |
| 2024 |
4,869 |
$269K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,877 |
4,730 |
$308K |
| 92014 |
|
3,062 |
2,990 |
$254K |
| V2020 |
Vision svcs frames purchases |
6,294 |
6,080 |
$232K |
| 92004 |
|
1,626 |
1,575 |
$151K |
| 92340 |
|
5,593 |
5,441 |
$126K |
| V2784 |
Lens polycarb or equal |
2,429 |
2,371 |
$92K |
| 92015 |
|
5,212 |
5,073 |
$64K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
724 |
662 |
$52K |
| 92341 |
|
856 |
806 |
$20K |
| 92250 |
|
181 |
178 |
$5K |