Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ARRANTS PEMBROKE PC
NPI: 1912099433 · ROCK SPRINGS, WY 82901 ·
152W00000X
$220K
Total Medicaid Paid
4,491
Total Claims
4,361
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
578
$28K
2019
533
$26K
2020
539
$26K
2021
753
$36K
2022
880
$44K
2023
768
$35K
2024
440
$24K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2784
Lens polycarb or equal
821
791
$67K
V2020
Vision svcs frames purchases
599
595
$43K
92014
459
442
$42K
92015
1,534
1,482
$27K
92340
839
814
$26K
V2103
Spherocylindr 4.00d/12-2.00d
172
171
$9K
92004
67
66
$6K