Medicaid Provider Spending

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

AD ASTRA OPTOMETRY LLC

NPI: 1306446513 · THE DALLES, OR 97058 · Eyewear Supplier · NPI assigned 10/27/2020

$19K
Total Medicaid Paid
524
Total Claims
490
Beneficiaries
4
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARTMAN, JENESSA (OWNER)
NPI Enumeration Date10/27/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 98 $2K
2023 134 $2K
2024 292 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 72 71 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 42 42 $5K
92015 Determination of refractive state 374 365 $5K
92065 36 12 $1K