Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › MOSES LAKE › CREVISTON AND PEDERSEN LLC

CREVISTON AND PEDERSEN LLC

NPI: 1174641690 · MOSES LAKE, WA 98837 · Optometrist · NPI assigned 03/26/2007

$121K
Total Medicaid Paid
4,067
Total Claims
3,935
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSHEPPARD, LAURIE (OFFICE MANAGER)
NPI Enumeration Date03/26/2007

Related Entities

Other providers sharing the same authorized official: SHEPPARD, LAURIE

ProviderCityStateTotal Paid
CREVISTON AND PEDERSEN LLC MOSES LAKE WA $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,970 $60K
2019 1,957 $58K
2020 140 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 563 561 $39K
92340 Fitting of spectacles, except for aphakia; monofocal 1,909 1,791 $37K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 435 433 $33K
92015 Determination of refractive state 1,160 1,150 $12K