Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF MARYLAND, LLC

NPI: 1063862571 · HAGERSTOWN, MD 21740 · Optometrist · NPI assigned 06/15/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$613K
Total Medicaid Paid
35,063
Total Claims
33,381
Beneficiaries
17
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date06/15/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 160 $8K
2019 39 $768.84
2020 25 $481.96
2021 72 $2K
2022 3,059 $45K
2023 16,611 $281K
2024 15,097 $275K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6,361 5,579 $182K
V2020 Frames, purchases 6,472 6,369 $126K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,119 5,024 $109K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,481 2,252 $75K
V2781 Progressive lens, per lens 980 967 $43K
V2299 Specialty bifocal (by report) 973 963 $32K
V2784 Lens, polycarbonate or equal, any index, per lens 3,831 3,762 $23K
92015 Determination of refractive state 6,873 6,547 $14K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 132 130 $5K
V2102 Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens 139 135 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 12 $273.68
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 148 120 $189.79
92340 Fitting of spectacles, except for aphakia; monofocal 13 12 $111.52
G8785 Blood pressure reading not documented, reason not given 27 25 $60.40
V2750 Anti-reflective coating, per lens 1,397 1,383 $21.00
V2744 Tint, photochromatic, per lens 75 75 $0.00
G8421 Bmi not documented and no reason is given 29 26 $0.00