Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FRONT ROYAL
› ELY, JOHN
ELY, JOHN
NPI: 1356382048 · FRONT ROYAL, VA 22630 ·
152W00000X
$11K
Total Medicaid Paid
230
Total Claims
230
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
230
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2100
Lens spher single plano 4.00
88
88
$7K
S0621
Routine ophthalmological exa
34
34
$2K
S0620
Routine ophthalmological exa
15
15
$675.00
V2020
Vision svcs frames purchases
67
67
$588.96
92014
13
13
$585.00
92004
13
13
$585.00