Medicaid Provider Spending

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

SHOLLY, ALLISON

NPI: 1447886601 · COSTA MESA, CA 92627 · Optometrist · NPI assigned 03/19/2020

$4K
Total Medicaid Paid
219
Total Claims
217
Beneficiaries
2
Codes Billed
2022-10
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 31 $553.99
2023 188 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 111 110 $4K
92015 Determination of refractive state 108 107 $865.08