Medicaid Provider Spending

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

GRAND ISLAND OPTICAL PC

NPI: 1942520614 · AURORA, NE 68818 · Optometrist · NPI assigned 06/04/2010

$9K
Total Medicaid Paid
327
Total Claims
323
Beneficiaries
6
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKETTELER, RENE (BUSINESS MANAGER)
NPI Enumeration Date06/04/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 145 $3K
2024 182 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 142 138 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 34 34 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 48 48 $2K
V2020 Frames, purchases 38 38 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 18 18 $671.20
V2756 Eye glass case 47 47 $47.00