Medicaid Provider Spending

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

NPI: 1710456249 · EAGLE GROVE, IA 50533 · Optometrist · NPI assigned 11/14/2018

$2K
Total Medicaid Paid
35
Total Claims
27
Beneficiaries
2
Codes Billed
2020-08
First Month
2021-03
Last Month

Provider Details

Authorized OfficialHAUCK, BRANDON (OWNER)
Parent OrganizationBROADWAY VISION SOURCE, INCORPORATED
NPI Enumeration Date11/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $1K
2021 16 $997.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19 15 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16 12 $997.37