Medicaid Provider Spending

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

LM SUNDHOLM INC PS

NPI: 1639111073 · EVERETT, WA 98208 · Optometrist · NPI assigned 06/11/2006

$4K
Total Medicaid Paid
153
Total Claims
145
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialSUNDHOLM, LYNETTE (OPTOMETRIST OWNER)
NPI Enumeration Date06/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112 $3K
2019 29 $266.26
2022 12 $138.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26 26 $2K
92015 Determination of refractive state 109 101 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 18 18 $363.29