Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ODESSA
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JACKSON, GARY
NPI: 1992119838 · ODESSA, TX 79764 ·
152W00000X
$3K
Total Medicaid Paid
288
Total Claims
254
Beneficiaries
3
Codes Billed
2021-01
First Month
2022-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
232
$2K
2022
56
$838.56
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
260
228
$3K
V2103
Spherocylindr 4.00d/12-2.00d
12
12
$298.56
92015
16
14
$0.00