Medicaid Provider Spending

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

JACKSON, TRICHELLE

NPI: 1720347644 · FOREST CITY, IA 50436 · Optometrist · NPI assigned 05/12/2012

$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 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 446 442 $30K
V2020 Frames, purchases 148 142 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 42 27 $523.16
V2756 Eye glass case 96 96 $97.20