Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› DEEP BLUE RETINA, PLLC
DEEP BLUE RETINA, PLLC
NPI: 1427511880 · SOUTHAVEN, MS 38671 ·
207WX0107X
$63K
Total Medicaid Paid
5,042
Total Claims
3,785
Beneficiaries
7
Codes Billed
2019-07
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
138
$682.54
2020
458
$8K
2021
772
$12K
2022
1,550
$21K
2023
1,411
$16K
2024
713
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
1,422
1,062
$33K
67028
535
389
$11K
92134
2,168
1,633
$10K
92250
435
350
$6K
J9035
Bevacizumab injection
410
286
$2K
92004
28
26
$1K
99212
44
39
$478.31