Medicaid Provider Spending

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

JANET HIDALGO, OD, PLLC

NPI: 1871056804 · TAMPA, FL 33634 · Pediatric Optometrist · NPI assigned 04/08/2019

$6K
Total Medicaid Paid
409
Total Claims
395
Beneficiaries
4
Codes Billed
2020-09
First Month
2023-04
Last Month

Provider Details

Authorized OfficialHIDALGO, JANET (OWNER)
NPI Enumeration Date04/08/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 47 $1K
2021 24 $495.00
2022 246 $4K
2023 92 $495.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 158 152 $6K
5010F 141 137 $0.00
92015 Determination of refractive state 40 39 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 70 67 $0.00