Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
AZ
›
PRESCOTT VALLEY
› KOKOPELLI EYE CARE PC
KOKOPELLI EYE CARE PC
NPI: 1528005444 · PRESCOTT VALLEY, AZ 86314 ·
174400000X
$65K
Total Medicaid Paid
1,471
Total Claims
1,288
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,104
$48K
2019
354
$15K
2020
13
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
707
644
$37K
92012
432
358
$15K
99204
61
55
$5K
66984
16
13
$2K
92250
27
26
$1K
V2020
Vision svcs frames purchases
60
42
$1K
V2784
Lens polycarb or equal
38
27
$926.90
92136
30
28
$924.98
92134
65
61
$447.59
92015
35
34
$391.32