Medicaid Provider Spending

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

DEVIVO, ANGELO

NPI: 1326040536 · MANNING, SC 29102 · 152W00000X

$1K
Total Medicaid Paid
68
Total Claims
68
Beneficiaries
5
Codes Billed
2023-04
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 68 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 15 15 $884.61
V2100 Lens spher single plano 4.00 13 13 $182.00
92015 14 14 $140.22
V2020 Vision svcs frames purchases 13 13 $130.00
V2784 Lens polycarb or equal 13 13 $52.00