Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › CREST HILL › LIETZ, JEROME

LIETZ, JEROME

NPI: 1609968650 · CREST HILL, IL 60403 · 152W00000X

$16K
Total Medicaid Paid
386
Total Claims
384
Beneficiaries
5
Codes Billed
2020-11
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $540.00
2021 266 $11K
2022 108 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 119 119 $5K
92004 108 108 $5K
V2100 Lens spher single plano 4.00 74 73 $5K
V2020 Vision svcs frames purchases 72 72 $777.60
V2025 Eyeglasses delux frames 13 12 $272.74