Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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
Year
Claims
Total Paid
2023
68
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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