Medicaid Provider Spending

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

ALPINE EYE CLINIC OPTICAL, LLC

NPI: 1518939834 · CORTEZ, CO 81321 · Optician · NPI assigned 02/02/2006

$1K
Total Medicaid Paid
37
Total Claims
37
Beneficiaries
3
Codes Billed
2022-03
First Month
2022-03
Last Month

Provider Details

Authorized OfficialPETTY, JOHN (OWNER)
NPI Enumeration Date02/02/2006

Related Entities

Other providers sharing the same authorized official: PETTY, JOHN

ProviderCityStateTotal Paid
ALPINE EYE CLINIC PC CORTEZ CO $117K
KETTERING PHYSIATRISTS, INC. KETTERING OH $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 37 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $524.70
V2020 Frames, purchases 13 13 $437.72
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $206.76