Medicaid Provider Spending

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

EDRICK NIEVES GONZALEZ

NPI: 1487788360 · MAYAGUEZ, PR 00680 · Optician · NPI assigned 03/15/2007

$3K
Total Medicaid Paid
116
Total Claims
113
Beneficiary Records
3
Codes Billed
2020-02
First Month
2022-03
Last Month

Provider Details

Authorized OfficialNIEVES, EDRICK (OWNER)
NPI Enumeration Date03/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $767.00
2022 90 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92002 44 43 $1K
92015 Determination of refractive state 44 43 $1K
V2020 Frames, purchases 28 27 $0.00