Medicaid Provider Spending

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

LEWIS COUNTY VISION SOURCE PC

NPI: 1356710933 · CENTRALIA, WA 98531 · Optometrist · NPI assigned 09/24/2015

$111K
Total Medicaid Paid
3,209
Total Claims
3,113
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialPADGETT, KELLY (OWNER)
NPI Enumeration Date09/24/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,294 $45K
2019 1,708 $59K
2020 207 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 597 593 $47K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 407 401 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 969 905 $19K
92015 Determination of refractive state 1,108 1,099 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128 115 $5K