Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › LEAVENWORTH › VISION SOURCE OF WENATCHEE, PS

VISION SOURCE OF WENATCHEE, PS

NPI: 1538219787 · LEAVENWORTH, WA 98826 · Optometrist · NPI assigned 01/11/2007

$330.96
Total Medicaid Paid
30
Total Claims
28
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-04
Last Month

Provider Details

Authorized OfficialDONAGHEY, NICHOLAS (VICE PRESIDENT)
NPI Enumeration Date01/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30 $330.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 30 28 $330.96