Medicaid Provider Spending

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

JACKSON, GARY

NPI: 1992119838 · ODESSA, TX 79764 · Optometrist · NPI assigned 06/18/2014

$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

YearClaimsTotal Paid
2021 232 $2K
2022 56 $838.56

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 260 228 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $298.56
92015 Determination of refractive state 16 14 $0.00