Medicaid Provider Spending

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

BOB KEATHLEY OPTICIANS LLC

NPI: 1700098589 · TULSA, OK 74145 · Eyewear Supplier · NPI assigned 05/04/2007

$5K
Total Medicaid Paid
206
Total Claims
206
Beneficiary Records
3
Codes Billed
2018-02
First Month
2018-10
Last Month

Provider Details

Authorized OfficialKEATHLEY, BOB (OWNER)
NPI Enumeration Date05/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 72 72 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 74 74 $2K
V2020 Frames, purchases 60 60 $600.00