Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › Billing code V2104

V2104

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Medicaid paid $41.73M on code V2104 from 2018 through 2024, to 2,097 providers — the #1,092 code in the file by dollars.

28Total paid$41.73M
24GClaims2,856,051
Paid per claim line$14.61
33Providers billing it2,097
Box 32 · Location

Where V2104 is billed

  1. $8.3M
  2. $7.5M
  3. $5.2M
  4. $3.6M
  5. $1.8M
  6. $1.8M
  7. $1.2M
  8. $1.1M
  9. $1.1M
  10. $880K
  11. $835K
  12. $816K

The largest of 47 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing V2104

#ProviderLocationClaimsPaid on V2104
1 Classic Optical Laboratories, INC. Youngstown, OH 576,916 $4.64M
2 State of California Prison Industry Authority Chowchilla, CA 305,223 $3.39M
3 State of California Prison Industry Authority Vacaville, CA 214,464 $2.39M
4 North Carolina Correction Enterprises Optical Nashville, NC 221,195 $1.75M
5 State of California Prison Industry Authority Chowchilla, CA 112,287 $1.32M
6 Correctional Industries - Doc Airway Heights, WA 142,063 $1.09M
7 National Vision Administrators, LLC Clifton, NJ 48,579 $878K
8 Laurel Hill Center Eugene, OR 42,984 $716K
9 Nationwide Optometry P.C. Tempe, AZ 21,846 $599K
10 Quickspex LLC Aurora, CO 8,311 $557K
11 Children's Optical, LLC Aurora, CO 13,679 $545K
12 Hero Vision of Denver LLC Denver, CO 11,469 $545K
13 Hero Vision of Greeley LLC Greeley, CO 10,110 $505K
14 Academy Kids Vision Center LLC Colorado Springs, CO 10,850 $500K
15 Bright Eyes Vision Clinic PC a Colorado Professional Corporation Canon City, CO 12,705 $471K
16 Hero Vision of Aurora LLC Aurora, CO 8,887 $432K
17 One Hour Optical Medical Services, PC Denver, CO 9,966 $413K
18 Hero Vision of Longmont, LLC Longmont, CO 8,391 $398K
19 Ochoa Interprises INC. Phoenix, AZ 8,058 $386K
20 Family Eye Care/Children's Eye Center of New Mexico, P.C. Albuquerque, NM 5,600 $375K
21 Nationwide Vision Center, LLC Mesa, AZ 15,630 $375K
22 Hero Vision of Albuquerque LLC Albuquerque, NM 10,206 $269K
23 Akvc North LLC Colorado Springs, CO 5,654 $266K
24 Park West Vision, LLC Pueblo, CO 5,318 $258K
25 Akvc Central LLC Colorado Springs, CO 5,179 $249K
26 HV Lakewood LLC Lakewood, CO 5,059 $243K
27 Eye Kraft Optical, INC Saint Cloud, MN 13,977 $238K
28 Youth Vision of Denver, LLC Denver, CO 4,400 $213K
29 Somerton Eyecare Center INC Somerton, AZ 4,383 $204K
30 Insight Optical, INC. Indianapolis, IN 7,128 $202K
31 Yah Vision Pueblo, CO 4,146 $201K
32 HV Ne Denver LLC Aurora, CO 4,235 $197K
33 Wholesale Optical Supply Robertsdale, AL 16,687 $195K
34 Hoya Optical Labs of America, INC Knoxville, TN 37,412 $186K
35 Express Lens Lab, INC. Fountain Valley, CA 2,980 $180K
36 Pro Optical INC Corpus Christi, TX 9,257 $179K
37 HV Pueblo South LLC Pueblo, CO 3,661 $176K
38 Pcor LLC Madison Hts, MI 15,005 $163K
39 Look Optical, PC Denver, CO 4,458 $163K
40 Children's Eye Physicians PC Wheat Ridge, CO 3,104 $154K
41 Childrens Eye Center PC Colorado Springs, CO 3,300 $150K
42 Bright Eyes Vision Clinic PC a Colorado Professional Corporation Thornton, CO 4,594 $149K
43 Radenovich, Violeta El Paso, TX 7,413 $147K
44 Eyemart Express LLC Farmers Branch, TX 12,996 $145K
45 Youth Vision of Aurora, LLC Aurora, CO 2,837 $136K
46 Pediatric Ophthalmology & Strabismus Associates INC Providence, RI 4,442 $135K
47 Adventure Vision LLC Wichita, KS 3,442 $135K
48 Hero Vision of Santa Fe LLC Santa Fe, NM 5,162 $133K
49 Valley Vision Center, INC. Grand Junction, CO 3,854 $132K
50 Bsa Industries, INC. Columbus, OH 19,092 $131K
51 Adventure Vision of Topeka LLC Topeka, KS 3,365 $130K
52 Mcgreevy INC Minneapolis, MN 5,635 $129K
53 Allan Baker INC Louisville, KY 21,111 $127K
54 Thornton Youth Vision, LLC Thornton, CO 2,460 $126K
55 Pediatric Ophthalmology, PC Tulsa, OK 6,046 $125K
56 CBTR Optical Labs LLC Henderson, NV 14,393 $122K
57 Family Vision Center LLC Stratford, CT 4,727 $121K
58 Your Childs Eyes LLC Colorado Springs, CO 2,542 $119K
59 A&k Kouklakis Od. P.C. Hammond, IN 2,728 $118K
60 Bright Eyes Vision Clinic PC a Colorado Professional Corporation Lakewood, CO 3,622 $116K
61 SVS Vision INC Mount Clemens, MI 9,447 $110K
62 Pinnacle Optical, LLC Irondale, AL 8,710 $108K
63 Lawrence Marc Jacobson MD PLLC Brooklyn, NY 1,114 $105K
64 Hefner Pointe Youth Optical Oklahoma City, OK 4,761 $103K
65 Looks, PA Las Cruces, NM 4,263 $103K
66 Robert W Moses O.D. Professional Corporation Merrillville, IN 2,336 $98K
67 Stapleton Family Optical LLC Denver, CO 1,987 $94K
68 Your Eyes of New Britain New Britain, CT 3,672 $88K
69 City Optical Co., INC. Indianapolis, IN 2,200 $87K
70 Nu-Crown, LLC Alton, IL 3,415 $83K
71 Children's Hospital & Medical Center Omaha, NE 2,546 $80K
72 Johnson Curran Optometry Centers PC Roanoke, VA 1,775 $80K
73 City Optical Co., INC. Indianapolis, IN 1,890 $79K
74 Family Vision Care PA Palmview, TX 4,362 $79K
75 Baker, Steven Louisville, KY 13,238 $77K
76 Amarillo Eye Associates PC Amarillo, TX 1,621 $74K
77 Adventure Vision Parklane LLC Wichita, KS 2,129 $74K
78 One Hour Optical Medical Services, PC Denver, CO 1,436 $74K
79 Bright Eyes Vision Clinic PC a Colorado Professional Corporation Aurora, CO 2,037 $73K
80 Mayes & Mayes Optometry, PLLC Oklahoma City, OK 3,113 $73K
81 Emad Nakkash, MD, PC Hazel Park, MI 5,422 $72K
82 All Family Vision LLC Corvallis, OR 4,920 $72K
83 Ferrin, Charles Safford, AZ 1,471 $71K
84 Girisgen & Kopolow Od, PC Las Vegas, NV 5,753 $70K
85 Lewenson, Robert Tampa, FL 2,966 $66K
86 Dean Mcgee Eye Institute Oklahoma City, OK 2,339 $65K
87 Hinojosa, Marcus Laredo, TX 3,224 $64K
88 Sweet Optics LLC Alamosa, CO 1,166 $62K
89 Wal-Mart Stores, INC. King Of Prussia, PA 4,384 $61K
90 Refuah Health Center INC Spring Valley, NY 3,034 $60K
91 John R Prewett O D INC Santa Maria, CA 2,095 $58K
92 DR. Luis S. Navarro, PLLC Edinburg, TX 2,801 $58K
93 Bright Eyes Vision Clinic PC a Colorado Professional Corporation Denver, CO 1,700 $57K
94 Stephen W. Groves MD, PC Tulsa, OK 2,637 $57K
95 Bostick, Joshua Saltillo, MS 1,736 $54K
96 Sundance Optical Clinic INC Phoenix, AZ 809 $54K
97 A&k Kouklakis Od. P.C. Merrillville, IN 1,247 $53K
98 Khong, Daniel Terrytown, LA 2,457 $53K
99 Eyemart Express LLC Lubbock, TX 2,194 $53K
100 Thundercloud Optical, LLC Omaha, NE 1,042 $52K