Medicaid Provider Spending

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

MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1013452267 · YORK, PA 17402 · Optometrist · NPI assigned 12/27/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$1.28M
Total Medicaid Paid
45,740
Total Claims
33,445
Beneficiaries
19
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date12/27/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $576.51
2020 1,506 $43K
2021 8,081 $219K
2022 11,578 $317K
2023 12,837 $372K
2024 11,725 $327K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 10,934 5,918 $443K
V2020 Frames, purchases 8,514 7,328 $259K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,921 5,755 $243K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,615 3,527 $164K
V2784 Lens, polycarbonate or equal, any index, per lens 8,018 3,612 $54K
V2750 Anti-reflective coating, per lens 2,753 1,673 $33K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 355 228 $18K
92015 Determination of refractive state 3,005 2,965 $17K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 363 363 $15K
92340 Fitting of spectacles, except for aphakia; monofocal 1,263 1,256 $13K
S0621 Routine ophthalmological examination including refraction; established patient 134 134 $4K
V2025 Deluxe frame 333 327 $4K
V2299 Specialty bifocal (by report) 71 46 $4K
V2781 Progressive lens, per lens 127 85 $2K
S0620 Routine ophthalmological examination including refraction; new patient 55 55 $2K
V2760 Scratch resistant coating, per lens 193 107 $1K
V2520 Contact lens, hydrophilic, spherical, per lens 13 12 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 27 25 $1K
V2744 Tint, photochromatic, per lens 46 29 $1K