Medicaid Provider Spending

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

KEITH R MOULDS OD PC

NPI: 1275516155 · COMSTOCK PARK, MI 49321 · Optometrist · NPI assigned 11/23/2005

$8K
Total Medicaid Paid
345
Total Claims
315
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMOULDS, KEITH (PRESIDENT)
NPI Enumeration Date11/23/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $520.26
2021 110 $3K
2022 132 $3K
2023 64 $1K
2024 13 $260.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 173 164 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 72 70 $1K
S0620 Routine ophthalmological examination including refraction; new patient 30 30 $1K
S0621 Routine ophthalmological examination including refraction; established patient 28 26 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 42 25 $323.98