Medicaid Provider Spending

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

VALLEY STREAM OPTOMETRIC SERVICES PC

NPI: 1083060131 · VALLEY STREAM, NY 11580 · Optometrist · NPI assigned 05/09/2016

$11K
Total Medicaid Paid
670
Total Claims
589
Beneficiaries
10
Codes Billed
2018-05
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWIANECKA, ALEKSANDRA (PRESIDENT)
NPI Enumeration Date05/09/2016

Related Entities

Other providers sharing the same authorized official: WIANECKA, ALEKSANDRA

ProviderCityStateTotal Paid
VISION FOR LIFE CORP BABYLON NY $60K
FAMILY OPTICAL HUNTINGTON NY $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $95.00
2019 207 $3K
2020 424 $7K
2021 27 $970.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 152 152 $4K
92250 71 70 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 70 67 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 66 33 $821.60
92083 12 12 $654.51
92133 16 16 $437.95
V2020 Frames, purchases 60 60 $310.50
92015 Determination of refractive state 124 123 $308.73
V2784 Lens, polycarbonate or equal, any index, per lens 87 44 $25.00
3072F 12 12 $0.00