Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN LUIS OBISPO › PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE

PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE

NPI: 1013034537 · SAN LUIS OBISPO, CA 93401 · Optometrist · NPI assigned 03/22/2007

$18K
Total Medicaid Paid
965
Total Claims
964
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialHIDER, STEVEN (OPTOMETRIST AND PARTNER)
NPI Enumeration Date03/22/2007

Related Entities

Other providers sharing the same authorized official: HIDER, STEVEN

ProviderCityStateTotal Paid
PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE ATASCADERO CA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 155 $3K
2019 200 $3K
2020 243 $4K
2021 367 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 191 191 $8K
92015 530 529 $5K
V2020 Frames, purchases 138 138 $3K
92340 78 78 $840.06
V2784 Lens, polycarbonate or equal, any index, per lens 14 14 $540.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14 14 $484.95