Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KENNEWICK
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JACKS, BRIAN
NPI: 1346479011 · KENNEWICK, WA 99336 ·
152W00000X
$5K
Total Medicaid Paid
167
Total Claims
167
Beneficiaries
4
Codes Billed
2021-03
First Month
2021-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
167
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92004
41
41
$4K
V2020
Vision svcs frames purchases
43
43
$839.00
V2100
Lens spher single plano 4.00
14
14
$348.32
92015
69
69
$30.00