Medicaid Provider Spending

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

KOON, TIFFANY

NPI: 1760820054 · GAMBRILLS, MD

$9K
Total Medicaid Paid
1,233
Total Claims
1,091
Beneficiaries
8
Codes Billed
2020-01
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 398 $3K
2021 496 $4K
2022 339 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 305 275 $4K
V2020 Frames, purchases 298 282 $2K
92250 184 162 $1K
99204 101 75 $1K
99214 21 17 $146.28
V2784 Lens, polycarbonate or equal, any index, per lens 75 67 $123.50
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 31 27 $75.00
92015 218 186 $0.00