Medicaid Provider Spending

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

BRTVA, DENNIS

NPI: 1215909056 · BLOOMINGTON, IL 61701 · 152W00000X

$18K

Total Medicaid Paid

657

Total Claims

650

Beneficiaries

6

Codes Billed

2023-11

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	12	$220.90
2024	645	$18K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92004		161	161	$8K
92015		300	297	$5K
92340		145	141	$4K
92002		23	23	$748.36
V2020	Vision svcs frames purchases	14	14	$560.00
V2784	Lens polycarb or equal	14	14	$180.04