JAMES A BOUCHER & SUE E LOWE PTR
NPI: 1881758332
· LARAMIE, WY 82070
· 152W00000X
$443K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,559 |
$89K |
| 2019 |
1,382 |
$73K |
| 2020 |
753 |
$43K |
| 2021 |
1,081 |
$54K |
| 2022 |
1,512 |
$78K |
| 2023 |
1,252 |
$60K |
| 2024 |
1,001 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,710 |
1,691 |
$145K |
| 92065 |
|
3,185 |
1,194 |
$126K |
| V2784 |
Lens polycarb or equal |
760 |
757 |
$62K |
| V2020 |
Vision svcs frames purchases |
746 |
742 |
$54K |
| 92015 |
|
1,965 |
1,956 |
$37K |
| 92004 |
|
148 |
147 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
26 |
26 |
$2K |