Medicaid Provider Spending

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

LUMEN VISION PC

NPI: 1447879663 · FARGO, ND 58104 · Optometrist · NPI assigned 04/09/2020

$207K
Total Medicaid Paid
4,269
Total Claims
2,839
Beneficiaries
10
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCAPOUCH, RYAN (FOUNDER/CEO)
NPI Enumeration Date04/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 126 $6K
2022 724 $37K
2023 1,476 $70K
2024 1,943 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92060 1,551 1,145 $75K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 748 474 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 319 310 $29K
92065 669 247 $29K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 54 53 $8K
92066 458 154 $7K
92015 Determination of refractive state 367 354 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36 36 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 55 54 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K