Medicaid Provider Spending

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

AGRAMONTE, MELISSA

NPI: 1396151486 · MERRITT ISLAND, FL 32952 · Optometrist · NPI assigned 07/09/2014

$2K
Total Medicaid Paid
180
Total Claims
72
Beneficiaries
5
Codes Billed
2021-10
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 180 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 35 12 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 33 15 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 35 12 $15.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 35 12 $0.00
92015 Determination of refractive state 42 21 $0.00