Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › REPUBLIC › HOLMES, ALEXANDRIA

HOLMES, ALEXANDRIA

NPI: 1194237826 · REPUBLIC, MO 65738 · 152W00000X

$17K
Total Medicaid Paid
886
Total Claims
831
Beneficiaries
7
Codes Billed
2019-01
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 721 $15K
2020 123 $1K
2021 42 $868.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 143 140 $7K
92014 114 111 $6K
92015 381 366 $2K
92340 153 152 $810.00
V2020 Vision svcs frames purchases 42 37 $762.20
V2784 Lens polycarb or equal 29 13 $355.58
V2100 Lens spher single plano 4.00 24 12 $272.16