Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› JACOB G. DESPAIN OD PC
JACOB G. DESPAIN OD PC
NPI: 1326459835 · LOVELL, WY 82431 ·
152W00000X
$13K
Total Medicaid Paid
320
Total Claims
315
Beneficiaries
5
Codes Billed
2018-03
First Month
2022-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
39
$624.96
2019
78
$3K
2020
97
$5K
2021
94
$4K
2022
12
$190.50
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
49
49
$5K
V2020
Vision svcs frames purchases
42
39
$3K
92015
175
175
$3K
V2784
Lens polycarb or equal
42
40
$2K
V2103
Spherocylindr 4.00d/12-2.00d
12
12
$783.84