Medicaid Provider Spending

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

ADVANCED EYECARE OF BLACKFOOT PLLC

NPI: 1568610574 · BLACKFOOT, ID 83221 · Optometrist · NPI assigned 09/03/2008

$52K
Total Medicaid Paid
1,395
Total Claims
1,357
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARLSON, JERRY (DOCTOR)
NPI Enumeration Date09/03/2008

Related Entities

Other providers sharing the same authorized official: CARLSON, JERRY

ProviderCityStateTotal Paid
ASPEN RIDGE EYE CARE, PLLC AMMON ID $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $7K
2019 119 $9K
2020 198 $5K
2021 107 $3K
2022 78 $2K
2023 298 $9K
2024 461 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 211 208 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 183 177 $21K
92340 Fitting of spectacles, except for aphakia; monofocal 434 416 $10K
92015 Determination of refractive state 553 543 $34.34
V2702 Deluxe lens feature 14 13 $0.00