Medicaid Provider Spending

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

TJ FANCY ENTERPRISES LLC

NPI: 1043066624 · CAMILLUS, NY 13031 · Optometrist · NPI assigned 04/25/2024

$2K
Total Medicaid Paid
41
Total Claims
41
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGREVELDING, TANYA (OWNER)
NPI Enumeration Date04/25/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 41 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 14 $2K
92341 15 15 $303.00
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $181.80