Medicaid Provider Spending

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

COEUR DALENE VISION SOURCE

NPI: 1598881351 · COEUR D ALENE, ID 83815 · Optometrist · NPI assigned 03/22/2007

$25K
Total Medicaid Paid
976
Total Claims
958
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGREENE, RAYMOND (OPTOMETRIST)
NPI Enumeration Date03/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $1K
2019 172 $5K
2020 51 $35.60
2021 136 $407.70
2022 243 $8K
2023 215 $7K
2024 92 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 178 177 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 57 57 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 57 57 $1K
92015 Determination of refractive state 684 667 $520.41