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MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC
MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC
NPI: 1013452267
· YORK, PA 17402
· 152W00000X
$1.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2100 |
Lens spher single plano 4.00 |
10,934 |
5,918 |
$443K |
| V2020 |
Vision svcs frames purchases |
8,514 |
7,328 |
$259K |
| 92014 |
|
5,921 |
5,755 |
$243K |
| 92004 |
|
3,615 |
3,527 |
$164K |
| V2784 |
Lens polycarb or equal |
8,018 |
3,612 |
$54K |
| V2750 |
Anti-reflective coating |
2,753 |
1,673 |
$33K |
| V2200 |
Lens spher bifoc plano 4.00d |
355 |
228 |
$18K |
| 92015 |
|
3,005 |
2,965 |
$17K |
| 92012 |
|
363 |
363 |
$15K |
| 92340 |
|
1,263 |
1,256 |
$13K |
| S0621 |
Routine ophthalmological exa |
134 |
134 |
$4K |
| V2025 |
Eyeglasses delux frames |
333 |
327 |
$4K |
| V2299 |
Lens bifocal speciality |
71 |
46 |
$4K |
| V2781 |
Progressive lens per lens |
127 |
85 |
$2K |
| S0620 |
Routine ophthalmological exa |
55 |
55 |
$2K |
| V2760 |
Scratch resistant coating |
193 |
107 |
$1K |
| V2520 |
Contact lens hydrophilic |
13 |
12 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
27 |
25 |
$1K |
| V2744 |
Tint photochromatic lens/es |
46 |
29 |
$1K |