Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › MOSES LAKE › CREVISTON AND PEDERSEN LLC

CREVISTON AND PEDERSEN LLC

NPI: 1386762417 · MOSES LAKE, WA 98837 · Optometrist · NPI assigned 03/27/2007

$160K
Total Medicaid Paid
5,241
Total Claims
4,922
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-10
Last Month

Provider Details

Authorized OfficialSHEPPARD, LAURIE (OFFICE MANAGER)
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: SHEPPARD, LAURIE

ProviderCityStateTotal Paid
CREVISTON AND PEDERSEN LLC MOSES LAKE WA $121K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,495 $77K
2019 2,371 $72K
2020 375 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 838 829 $57K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 568 552 $44K
92340 Fitting of spectacles, except for aphakia; monofocal 2,279 2,011 $42K
92015 Determination of refractive state 1,556 1,530 $17K