Medicaid Provider Spending

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

1912014382

NPI: 1912014382

Deactivated NPI · This NPI was deactivated on 08/06/2021.
$52K
Total Medicaid Paid
1,915
Total Claims
1,904
Beneficiaries
5
Codes Billed
2020-11
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 485 $13K
2021 1,430 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 537 533 $22K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 535 534 $11K
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 314 313 $7K
V2025 Deluxe frame 135 134 $7K
V2020 Frames, purchases 394 390 $6K