Medicaid Provider Spending

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

GIANNETTI & RALSTON EYE CARE OF ANDOVER, LLC

NPI: 1366895922 · ANDOVER, KS 67002 · Optometrist · NPI assigned 07/19/2016

$1K
Total Medicaid Paid
61
Total Claims
57
Beneficiaries
2
Codes Billed
2018-08
First Month
2021-11
Last Month

Provider Details

Authorized OfficialGIANNETTI, JACE (OWNER/SECRETARY)
Parent OrganizationGIANNETTI & RALSTON EYE CARE, P.A
NPI Enumeration Date07/19/2016

Related Entities

Other providers sharing the same authorized official: GIANNETTI, JACE

ProviderCityStateTotal Paid
GIANNETTI & RALSTON EYE CARE, P.A. AUGUSTA KS $27K
GIANNETTI & RALSTON EYE CARE, P.A. VALLEY CENTER KS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21 $107.10
2020 27 $979.32
2021 13 $69.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 13 $891.12
92015 Determination of refractive state 48 44 $264.60