Medicaid Provider Spending

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

JACQUES OPTOMETRY LLC

NPI: 1386217586 · WILDWOOD, MO 63040 · Optometrist · NPI assigned 07/23/2021

$1K
Total Medicaid Paid
27
Total Claims
27
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-03
Last Month

Provider Details

Authorized OfficialJACQUES, PETER (MANAGING MEMBER)
NPI Enumeration Date07/23/2021

Related Entities

Other providers sharing the same authorized official: JACQUES, PETER

ProviderCityStateTotal Paid
PETER JOHN JACQUES APPLETON WI $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 27 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $1K
92015 Determination of refractive state 14 14 $63.06