Medicaid Provider Spending

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

HALL FAMILY EYECARE LLC

NPI: 1285235358 · WICHITA, KS 67213 · Eyewear Supplier · NPI assigned 11/05/2020

$1K
Total Medicaid Paid
28
Total Claims
26
Beneficiary Records
2
Codes Billed
2022-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPAKSIN-HALL, ARRAYA (OD/PRESIDENT)
NPI Enumeration Date11/05/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 28 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 12 $1K
92015 Determination of refractive state 15 14 $88.20