Medicaid Provider Spending

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

IDEAL VISION CENTER LLC

NPI: 1316103609 · HAGATNA, GU 96910 · 261Q00000X

$81K
Total Medicaid Paid
1,440
Total Claims
1,409
Beneficiaries
2
Codes Billed
2019-11
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 46 $953.12
2020 131 $5K
2021 252 $10K
2022 430 $25K
2023 364 $24K
2024 217 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2199 Lens single vision not oth c 517 504 $63K
92015 923 905 $18K