Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › POPLAR BLUFF › DIVINE, KYLIE

DIVINE, KYLIE

NPI: 1558672162 · POPLAR BLUFF, MO 63901 · 152W00000X

$19K
Total Medicaid Paid
1,442
Total Claims
1,002
Beneficiaries
6
Codes Billed
2018-02
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 557 $5K
2019 614 $9K
2020 271 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2784 Lens polycarb or equal 458 206 $5K
V2020 Vision svcs frames purchases 229 202 $4K
92004 83 76 $3K
92014 78 61 $3K
92015 429 373 $2K
V2103 Spherocylindr 4.00d/12-2.00d 165 84 $1K