Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LAKESIDE VISION, PLLC
NPI: 1457666729 · LIBERTY LAKE, WA 99019 ·
Optometrist
· NPI assigned 08/11/2010
$130.00
Total Medicaid Paid
47
Total Claims
45
Beneficiaries
2
Codes Billed
2021-12
First Month
2023-04
Last Month
Provider Details
Authorized Official
FISCHER, LAURA
(OPTOMETRIST)
NPI Enumeration Date
08/11/2010
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
13
$130.00
2023
34
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92015
Determination of refractive state
30
29
$130.00
92004
Ophthalmological services: medical examination and evaluation, comprehensive, new patient
17
16
$0.00