Medicaid Provider Spending

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

MELENDEZ, JACQUELINE

NPI: 1841542719 · VEGA BAJA, PR 00693 · Optometrist · NPI assigned 10/02/2012

$4K
Total Medicaid Paid
175
Total Claims
175
Beneficiaries
4
Codes Billed
2020-06
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $242.90
2021 15 $428.00
2022 111 $2K
2023 37 $990.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 110 110 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19 19 $598.50
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 12 12 $0.00
V2020 Frames, purchases 34 34 $0.00