Medicaid Provider Spending

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

LARSON, ANDREW

NPI: 1538508031 · KUTZTOWN, PA 19530 · Optometrist · NPI assigned 06/18/2013

$4K
Total Medicaid Paid
194
Total Claims
194
Beneficiaries
5
Codes Billed
2021-01
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 194 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 65 65 $2K
S0621 Routine ophthalmological examination including refraction; established patient 26 26 $780.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15 15 $554.65
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $295.38
92015 Determination of refractive state 76 76 $0.00