Medicaid Provider Spending

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

HOLTMAN, LISA

NPI: 1710407622 · WOODBURY, MN 55125 · 152W00000X

$4K

Total Medicaid Paid

148

Total Claims

123

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	148	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92004		25	25	$2K
92015		79	61	$2K
V2020	Vision svcs frames purchases	19	12	$570.00
92340		12	12	$300.00
V2784	Lens polycarb or equal	13	13	$52.00