Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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VISION GALLERY INC
NPI: 1316210735 · SAN JUAN, PR 00911 ·
Primary Care Clinic/Center
· NPI assigned 02/15/2012
$726.90
Total Medicaid Paid
34
Total Claims
32
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-03
Last Month
Provider Details
Authorized Official
UNDERWOOD, ANOUK
(OPTOMETRIST)
NPI Enumeration Date
02/15/2012
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
34
$726.90
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92002
17
16
$375.00
92015
Determination of refractive state
17
16
$351.90