Medicaid Provider Spending

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

SHASTA VISION GROUP AN OPTOMETRIC CORPORATION

NPI: 1669697348 · MOUNT SHASTA, CA 96067 · Optometrist · NPI assigned 04/16/2007

$3K
Total Medicaid Paid
369
Total Claims
369
Beneficiaries
1
Codes Billed
2020-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialMAYGREN, ANNELLE (OWNER)
NPI Enumeration Date04/16/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 102 $816.22
2021 71 $568.71
2022 85 $648.81
2023 111 $889.11

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 369 369 $3K