Medicaid Provider Spending

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

BIRCH LAKE VISION GROUP, LLC.

NPI: 1609921899 · WHITE BEAR LAKE, MN 55110 · Optometrist · NPI assigned 01/25/2007

$1K
Total Medicaid Paid
152
Total Claims
107
Beneficiaries
3
Codes Billed
2018-05
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGRUDEM, BRIAN (CFO)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $40.57
2019 27 $366.60
2020 44 $502.93
2021 27 $327.86

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 54 54 $694.46
V2020 Frames, purchases 34 27 $391.08
V2784 Lens, polycarbonate or equal, any index, per lens 64 26 $152.42