Medicaid Provider Spending

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

BRIDGEPORT FAMILY VISION CLINIC, PLLC

NPI: 1235517541 · LAKEWOOD, WA 98499 · Optometrist · NPI assigned 05/07/2015

$39K
Total Medicaid Paid
1,810
Total Claims
1,804
Beneficiaries
3
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAWANDA, AMRIT (OD, OWNER)
NPI Enumeration Date05/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 62 $2K
2019 329 $12K
2020 255 $8K
2021 314 $10K
2022 203 $4K
2023 214 $2K
2024 433 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 617 615 $31K
92015 Determination of refractive state 1,178 1,174 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 15 $0.00