Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BLOOMINGTON › LITHIA E. JIMENEZ,OD, LLC

LITHIA E. JIMENEZ,OD, LLC

NPI: 1912380262 · BLOOMINGTON, IN 47403 · Optometrist

$3K
Total Medicaid Paid
213
Total Claims
189
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 201 $2K
2019 12 $458.19

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 90 78 $1K
92015 98 86 $850.86
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 25 $535.50