Medicaid Provider Spending

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

LAKESHORE VISION CENTERS, LTD

NPI: 1780734418 · ALGOMA, WI 54201 · Clinic/Center · NPI assigned 01/12/2007

$104.67
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2018-10
First Month
2018-10
Last Month

Provider Details

Authorized OfficialGORZ, SUSAN (CO-OWNER, VICE-PRESIDENT)
NPI Enumeration Date01/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $104.67

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 12 12 $104.67