Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ST AUGUSTINE
› HILVERSUM, CHEQUITA
HILVERSUM, CHEQUITA
NPI: 1437148509 · ST AUGUSTINE, FL 32086 ·
152W00000X
$28K
Total Medicaid Paid
2,164
Total Claims
1,757
Beneficiaries
8
Codes Billed
2022-10
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
631
$5K
2023
944
$14K
2024
589
$9K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
529
471
$13K
92014
145
92
$5K
92004
132
102
$5K
V2100
Lens spher single plano 4.00
543
423
$2K
92015
528
419
$1K
92340
235
223
$1K
V2750
Anti-reflective coating
24
12
$0.00
V2025
Eyeglasses delux frames
28
15
$0.00