Medicaid Provider Spending

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

JONATHAN M. DAVIDORF, M.D. INC.

NPI: 1396913695 · WEST HILLS, CA 91307 · Ophthalmology Physician · NPI assigned 02/20/2008

$33K
Total Medicaid Paid
3,393
Total Claims
3,327
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDAVIDORF, JONATHAN (CEO)
NPI Enumeration Date02/20/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 224 $584.11
2019 661 $5K
2020 838 $10K
2021 639 $7K
2022 322 $3K
2023 653 $6K
2024 56 $310.82

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 635 631 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 610 593 $11K
92015 Determination of refractive state 1,796 1,771 $7K
V2020 Frames, purchases 127 126 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 188 170 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 21 20 $338.27
92341 16 16 $227.68