Medicaid Provider Spending

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

PAUL C BRUDERER O D P C

NPI: 1427241843 · WEST VALLEY CITY, UT 84120 · 152W00000X

$58K
Total Medicaid Paid
2,604
Total Claims
2,409
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 238 $10K
2019 122 $4K
2020 214 $4K
2021 194 $7K
2022 749 $30K
2023 572 $1K
2024 515 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 457 421 $40K
92014 124 121 $14K
V2020 Vision svcs frames purchases 401 374 $3K
92340 307 282 $916.13
V2101 Single visn sphere 4.12-7.00 199 182 $450.00
92015 1,078 991 $321.58
92250 14 14 $0.00
V2103 Spherocylindr 4.00d/12-2.00d 12 12 $0.00
V2100 Lens spher single plano 4.00 12 12 $0.00