Medicaid Provider Spending

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

PEARL OPTICAL INC P S

NPI: 1205025962 · TUKWILA, WA 98188 · 152W00000X

$18K

Total Medicaid Paid

946

Total Claims

856

Beneficiaries

4

Codes Billed

2018-01

First Month

2022-03

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	299	$6K
2019	336	$6K
2020	87	$1K
2021	170	$5K
2022	54	$663.30

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92340		705	621	$12K
92004		39	37	$3K
92015		190	186	$2K
92014		12	12	$847.20