Medicaid Provider Spending

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

ARROYO GRANDE OPTOMETRY, INC.

NPI: 1194365023 · ARROYO GRANDE, CA 93420 · Clinic/Center · NPI assigned 01/08/2020

$57K
Total Medicaid Paid
2,485
Total Claims
2,482
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEITKAMP, JAMES (PRESIDENT)
NPI Enumeration Date01/08/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 103 $2K
2021 406 $9K
2022 668 $16K
2023 708 $17K
2024 600 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 619 618 $25K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 489 489 $20K
92015 Determination of refractive state 1,377 1,375 $12K