Medicaid Provider Spending

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

GRANDELA, CARLOS

NPI: 1457848319 · MESA, AZ 85210 · Optometrist · NPI assigned 04/17/2018

$1K
Total Medicaid Paid
72
Total Claims
67
Beneficiary Records
3
Codes Billed
2019-04
First Month
2019-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 72 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45 40 $966.03
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 13 $279.60
92015 Determination of refractive state 14 14 $253.03