Medicaid Provider Spending

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

DR PETRONACK & ASSOCIATES OPTOMETRISTS INC

NPI: 1932305489 · FRIDLEY, MN 55432 · Optician · NPI assigned 06/22/2007

$3K
Total Medicaid Paid
86
Total Claims
84
Beneficiaries
4
Codes Billed
2023-11
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPETRONACK, MICHAEL (OWNER)
NPI Enumeration Date06/22/2007

Related Entities

Other providers sharing the same authorized official: PETRONACK, MICHAEL

ProviderCityStateTotal Paid
DR. PETRONACK & ASSOCIATES, OPTOMETRISTS, INC. HUGO MN $299K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 28 $567.16
2024 58 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 27 27 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 13 12 $900.00
V2020 Frames, purchases 15 14 $550.70
92015 31 31 $288.61