Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › DAVENPORT › DAVENPORT VISION CLINIC, INC.

DAVENPORT VISION CLINIC, INC.

NPI: 1447323811 · DAVENPORT, WA 99122 · Optometrist · NPI assigned 11/15/2006

$8K
Total Medicaid Paid
252
Total Claims
252
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialNICHOLS, STACIE (OWNER)
NPI Enumeration Date11/15/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 252 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 81 81 $5K
92015 Determination of refractive state 158 158 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $1K