Medicaid Provider Spending

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

HAYDEN VISION SOURCE PLLC

NPI: 1780345264 · HAYDEN, ID 83835 · Optometrist · NPI assigned 01/06/2022

$0.00
Total Medicaid Paid
43
Total Claims
43
Beneficiaries
1
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBRUNEEL, TYREL (OWNER)
NPI Enumeration Date01/06/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 16 $0.00
2023 14 $0.00
2024 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 43 43 $0.00