Medicaid Provider Spending

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

DR. MANUEL M. DE LA RUA, O.D., L.L.C.

NPI: 1194140475 · KENNER, LA 70065 · 152W00000X

$46K
Total Medicaid Paid
1,656
Total Claims
1,464
Beneficiaries
10
Codes Billed
2018-04
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 722 $20K
2019 477 $17K
2020 319 $7K
2021 88 $2K
2022 50 $542.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0580 Polycarb lens 260 216 $15K
92014 160 143 $12K
V2020 Vision svcs frames purchases 585 514 $9K
99211 303 259 $4K
92004 24 24 $2K
92015 132 125 $2K
V2103 Spherocylindr 4.00d/12-2.00d 74 67 $1K
92340 70 70 $1K
V2799 Misc vision item or service 33 31 $431.04
2026F 15 15 $0.00