Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MAIN STREET VISION CARE, CO.

NPI: 1740780840 · LONGMONT, CO 80501 · Optometrist · NPI assigned 02/15/2018

$2K
Total Medicaid Paid
82
Total Claims
70
Beneficiaries
2
Codes Billed
2019-04
First Month
2020-02
Last Month

Provider Details

Authorized OfficialTRUDELL, ROGER (OWNER)
NPI Enumeration Date02/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 68 $2K
2020 14 $9.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19 15 $2K
92015 Determination of refractive state 63 55 $19.80