Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LA MESA › HAN, SUL KI

HAN, SUL KI

NPI: 1750802195 · LA MESA, CA 91942 · Optometrist · NPI assigned 07/06/2017

$932.51
Total Medicaid Paid
26
Total Claims
25
Beneficiaries
2
Codes Billed
2021-12
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $932.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 13 $535.63
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 12 $396.88