Medicaid Provider Spending

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

RACKOVAN, KARA

NPI: 1831750108 · CHESTERFIELD, MO 63005 · 152W00000X

$2K
Total Medicaid Paid
107
Total Claims
107
Beneficiaries
5
Codes Billed
2019-08
First Month
2020-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 43 $408.17
2020 64 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 12 12 $604.80
V2020 Vision svcs frames purchases 13 13 $263.68
V2784 Lens polycarb or equal 13 13 $247.36
92015 44 44 $229.71
V2103 Spherocylindr 4.00d/12-2.00d 25 25 $216.03