Medicaid Provider Spending

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

FAMILY VISION CARE OPHTHALMIC DISPENSING LLC

NPI: 1053335695 · SARATOGA SPRINGS, NY 12866 · Optician · NPI assigned 07/27/2006

$65K
Total Medicaid Paid
2,428
Total Claims
2,121
Beneficiaries
5
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALSTEAD, SUSAN (OWNER)
NPI Enumeration Date07/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 105 $2K
2020 297 $7K
2021 306 $6K
2022 596 $18K
2023 623 $18K
2024 501 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 639 339 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 326 326 $21K
V2020 Frames, purchases 441 439 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37 37 $3K
92015 Determination of refractive state 985 980 $2K