Medicaid Provider Spending

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

CHRIS DEITRICK OD PA

NPI: 1780773481 · MOUNTAIN VIEW, AR 72560 · Corneal and Contact Management Optometrist · NPI assigned 10/12/2006

$374K
Total Medicaid Paid
7,806
Total Claims
7,557
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, LANETTE (OFFICE MANAGER)
NPI Enumeration Date10/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,334 $64K
2019 1,250 $65K
2020 971 $44K
2021 1,108 $52K
2022 1,031 $50K
2023 1,163 $56K
2024 949 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 2,985 2,927 $170K
92340 Fitting of spectacles, except for aphakia; monofocal 3,537 3,417 $169K
92015 Determination of refractive state 638 615 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 188 177 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 140 122 $4K
92250 49 46 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 15 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $918.82
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 13 $315.64
G9903 Patient screened for tobacco use and identified as a tobacco non-user 95 87 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 134 126 $0.00