Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BROOKLYN › SUPER VISION OPTICAL INC

SUPER VISION OPTICAL INC

NPI: 1093804569 · BROOKLYN, NY 11209 · Optometrist · NPI assigned 10/12/2006

$42K
Total Medicaid Paid
930
Total Claims
921
Beneficiaries
5
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORENO, MARIA (OWNER)
NPI Enumeration Date10/12/2006

Related Entities

Other providers sharing the same authorized official: MORENO, MARIA

ProviderCityStateTotal Paid
JAL HEALTH SERVICES INC EDINBURG TX $8.05M
SU CASA ADULT DAY CARE II PHARR TX $2.30M
LENS LAB EXPRESS OF 5917 BERGENLINE WEST NEW YORK NJ $250K
LENS LAB OPTICAL 181 INC NEW YORK NY $33K
VISION OF YONKERS, INC JAMAICA NY $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $92.38
2021 12 $123.00
2023 534 $24K
2024 372 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 308 304 $21K
92250 283 281 $12K
92285 263 262 $8K
V2020 Frames, purchases 64 62 $650.38
92083 12 12 $558.00