Medicaid Provider Spending

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

PRINCETON OPTICAL

NPI: 1053464024 · PRINCETON, IN 47670 · Optician · NPI assigned 01/21/2007

$12K
Total Medicaid Paid
533
Total Claims
454
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialKOVERMAN, JAMES (OWNER)
NPI Enumeration Date01/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 533 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 61 50 $3K
V2020 Frames, purchases 123 106 $3K
V2755 U-v lens, per lens 104 90 $2K
92015 Determination of refractive state 179 155 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 38 26 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 28 27 $1K