Medicaid Provider Spending

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

ENCHANTED MOUNTAIN OPTOMETRY,PLLC

NPI: 1013294685 · OLEAN, NY 14760 · Eyewear Supplier · NPI assigned 11/10/2011

$36K
Total Medicaid Paid
2,009
Total Claims
1,803
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialLUDDEN, TRACY (OPTOMETRIST)
NPI Enumeration Date11/10/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 722 $15K
2019 1,030 $16K
2020 257 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 202 202 $11K
92341 455 454 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 473 470 $7K
V2020 Frames, purchases 213 211 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 114 62 $2K
92370 272 263 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 280 141 $60.00