Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › CARUTHERSVILLE › BOOTHEEL EYE CARE

BOOTHEEL EYE CARE

NPI: 1609933902 · CARUTHERSVILLE, MO 63830 · 152W00000X

$16K
Total Medicaid Paid
869
Total Claims
713
Beneficiaries
7
Codes Billed
2020-06
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 469 $9K
2021 400 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 120 120 $6K
V2020 Vision svcs frames purchases 181 181 $4K
V2784 Lens polycarb or equal 225 113 $3K
92015 243 243 $1K
V2103 Spherocylindr 4.00d/12-2.00d 64 32 $725.76
92004 12 12 $616.20
V2100 Lens spher single plano 4.00 24 12 $272.16