Medicaid Provider Spending

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

DERBY, JACK

NPI: 1841671948 · MARION, IN 46953 · 152W00000X

$5K
Total Medicaid Paid
210
Total Claims
199
Beneficiaries
4
Codes Billed
2018-06
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140 $4K
2019 42 $1K
2023 28 $228.84

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 23 21 $2K
92015 123 117 $2K
V2020 Vision svcs frames purchases 48 46 $1K
V2103 Spherocylindr 4.00d/12-2.00d 16 15 $755.16