Medicaid Provider Spending

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

OPTIC GALLERY PAHRUMP LLC

NPI: 1982453460 · PAHRUMP, NV 89048 · 152W00000X

$8K
Total Medicaid Paid
118
Total Claims
118
Beneficiaries
6
Codes Billed
2024-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 118 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 23 23 $3K
V2020 Vision svcs frames purchases 21 21 $2K
V2100 Lens spher single plano 4.00 20 20 $1K
V2784 Lens polycarb or equal 15 15 $600.00
92340 16 16 $534.72
92015 23 23 $431.94