Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MO
›
RAYTOWN
› ENEVOLDSEN, MELISSA
ENEVOLDSEN, MELISSA
NPI: 1396092961 · RAYTOWN, MO 64133 ·
152W00000X
$8K
Total Medicaid Paid
470
Total Claims
448
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
291
$5K
2019
179
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
125
114
$3K
92004
33
33
$2K
V2784
Lens polycarb or equal
90
86
$1K
92015
178
174
$896.98
92014
12
12
$624.72
V2100
Lens spher single plano 4.00
32
29
$423.50