Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2018 727 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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