Medicaid Provider Spending

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

FORMICA OPTICAL

NPI: 1083603385 · SOMERSET, PA 15501 · Durable Medical Equipment & Medical Supplies

$206K
Total Medicaid Paid
3,407
Total Claims
2,627
Beneficiaries
8
Codes Billed
2020-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 136 $8K
2021 604 $39K
2022 1,180 $74K
2023 1,117 $65K
2024 370 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 2,045 1,515 $164K
92014 390 385 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 723 504 $15K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 69 55 $4K
92012 69 69 $3K
V2500 Contact lens, pmma, spherical, per lens 42 30 $3K
S0621 Routine ophthalmological examination including refraction; established patient 56 56 $2K
92015 13 13 $58.50