Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › CHARLESTON › ENVISION OPTICAL LLC

ENVISION OPTICAL LLC

NPI: 1073854543 · CHARLESTON, WV 25301 · Eyewear Supplier · NPI assigned 03/08/2013

$16K
Total Medicaid Paid
457
Total Claims
414
Beneficiaries
4
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialBOUNDS, ANNE (PRACTICE MANAGER)
NPI Enumeration Date03/08/2013

Related Entities

Other providers sharing the same authorized official: BOUNDS, ANNE

ProviderCityStateTotal Paid
MOUNTAIN STATE EYE ASSOCIATES, PLLC CHARLESTON WV $73K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $7K
2019 263 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 239 212 $11K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 176 165 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 24 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17 13 $378.92