Medicaid Provider Spending

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

DZIBELA, TRACY

NPI: 1912096314 · TAPPAHANNOCK, VA 22560 · Optometrist · NPI assigned 10/12/2006

$5K
Total Medicaid Paid
114
Total Claims
114
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 30 30 $2K
S0620 Routine ophthalmological examination including refraction; new patient 28 28 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $630.00
S0621 Routine ophthalmological examination including refraction; established patient 12 12 $540.00
V2020 Frames, purchases 30 30 $262.80