Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2018 578 $28K
2019 533 $26K
2020 539 $26K
2021 753 $36K
2022 880 $44K
2023 768 $35K
2024 440 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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