Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › FOREST CITY › JACKSON, TRICHELLE

JACKSON, TRICHELLE

NPI: 1720347644 · FOREST CITY, IA 50436 · 152W00000X

$35K
Total Medicaid Paid
744
Total Claims
719
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 334 $16K
2019 354 $16K
2020 56 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 446 442 $30K
V2020 Vision svcs frames purchases 148 142 $4K
92004 12 12 $1K
V2103 Spherocylindr 4.00d/12-2.00d 42 27 $523.16
V2756 Eye glass case 96 96 $97.20