Medicaid Provider Spending

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

BUENA VISTA OPTICAL INC

NPI: 1023157641 · MCALLEN, TX 78501 · Eyewear Supplier · NPI assigned 02/06/2007

$77K
Total Medicaid Paid
3,901
Total Claims
3,740
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGILLETT, RICHARD (DOCTOR)
NPI Enumeration Date02/06/2007

Related Entities

Other providers sharing the same authorized official: GILLETT, RICHARD

ProviderCityStateTotal Paid
SOUTHEAST TEXAS EYE ASSOCIATES MCALLEN TX $399K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $3K
2019 94 $3K
2020 193 $4K
2021 1,873 $37K
2022 1,631 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,904 1,815 $31K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 904 877 $20K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 394 376 $8K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 206 189 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 354 346 $7K
V2025 Deluxe frame 139 137 $5K