Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ROETTIGER, TRACY
NPI: 1285606954 · KEENE, NH 03431 ·
152W00000X
$18K
Total Medicaid Paid
727
Total Claims
668
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
727
$18K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92004
129
128
$7K
92015
240
204
$5K
92340
88
86
$3K
92014
34
27
$2K
V2020
Vision svcs frames purchases
156
151
$1K
92250
33
28
$540.00
V2100
Lens spher single plano 4.00
18
18
$225.00
V2784
Lens polycarb or equal
29
26
$121.50