Medicaid Provider Spending

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

PG OPTICAL LLC

NPI: 1447950183 · ROLLA, MO 65401 · Optometrist

$67K
Total Medicaid Paid
1,785
Total Claims
1,714
Beneficiaries
7
Codes Billed
2023-08
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 411 $14K
2024 1,374 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 640 630 $55K
V2020 Frames, purchases 102 98 $5K
92015 644 634 $2K
92340 292 290 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 65 35 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 30 15 $900.00
92341 12 12 $60.00