Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › MIDDLETOWN › JACKSON, AUTUMN

JACKSON, AUTUMN

NPI: 1477739100 · MIDDLETOWN, RI 02842 · 152W00000X

$43K
Total Medicaid Paid
1,861
Total Claims
1,788
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 397 $8K
2019 395 $9K
2020 222 $5K
2021 430 $11K
2022 417 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 753 727 $20K
92014 408 394 $13K
V2020 Vision svcs frames purchases 395 379 $5K
92340 278 261 $4K
V2103 Spherocylindr 4.00d/12-2.00d 27 27 $691.50