Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › GLENDALE › EDAKKUNNATHU, ALWIN

EDAKKUNNATHU, ALWIN

NPI: 1467899609 · GLENDALE, WI 53217 · 152W00000X

$3K
Total Medicaid Paid
503
Total Claims
491
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 228 $126.60
2019 49 $159.52
2020 34 $33.97
2021 192 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 37 37 $808.45
92004 65 65 $664.95
V2020 Vision svcs frames purchases 155 148 $594.00
92015 201 199 $588.23
V2103 Spherocylindr 4.00d/12-2.00d 17 17 $170.00
V2025 Eyeglasses delux frames 28 25 $0.00