Medicaid Provider Spending

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

KOUBEK, KYLE

NPI: 1629546668 · WESTLAKE, OH 44145 · Optometrist · NPI assigned 11/07/2018

$4K
Total Medicaid Paid
255
Total Claims
254
Beneficiaries
5
Codes Billed
2021-12
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $0.00
2022 121 $2K
2023 38 $568.56
2024 79 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25 25 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24 24 $1K
V2020 Frames, purchases 50 49 $964.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 24 24 $607.12
92015 Determination of refractive state 132 132 $0.00