Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › MANSFIELD › FILLMORE, RUSSELL

FILLMORE, RUSSELL

NPI: 1306860754 · MANSFIELD, OH 44907 · 152WP0200X

$93K
Total Medicaid Paid
5,434
Total Claims
4,511
Beneficiaries
6
Codes Billed
2020-02
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,193 $19K
2021 2,212 $38K
2022 2,029 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Vision svcs frames purchases 1,509 1,158 $24K
92014 544 544 $23K
92004 404 404 $17K
V2103 Spherocylindr 4.00d/12-2.00d 788 583 $16K
V2784 Lens polycarb or equal 1,075 708 $13K
92015 1,114 1,114 $0.00