Medicaid Provider Spending

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

ARCHULETA EYECARE ASSOCIATES, LLC

NPI: 1649205113 · PAGOSA SPRINGS, CO 81147 · Optometrist · NPI assigned 07/12/2006

$20K
Total Medicaid Paid
711
Total Claims
644
Beneficiaries
4
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialZISSMAN, JONATHAN (OWNER)
NPI Enumeration Date07/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $1K
2019 100 $2K
2020 70 $4K
2021 150 $3K
2022 112 $4K
2023 90 $1K
2024 123 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92250 302 281 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31 29 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 50 45 $3K
92015 Determination of refractive state 328 289 $896.05