Medicaid Provider Spending

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

DAVID S SYBESMA, OD, PC

NPI: 1447474630 · MAQUOKETA, IA 52060 · Optometrist · NPI assigned 04/12/2007

$29K
Total Medicaid Paid
1,111
Total Claims
1,084
Beneficiaries
6
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSYBESMA, DAVID (OWNER)
NPI Enumeration Date04/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 235 $7K
2021 173 $5K
2022 253 $6K
2023 292 $7K
2024 158 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 736 712 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 137 136 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87 87 $8K
V2020 Frames, purchases 70 69 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $306.24
V2756 Eye glass case 69 68 $71.28