Medicaid Provider Spending

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

EYEWEAR BOUTIQUE INC

NPI: 1093960106 · LAKE CITY, SC 29560 · Optometrist · NPI assigned 11/18/2008

$3K
Total Medicaid Paid
225
Total Claims
225
Beneficiaries
4
Codes Billed
2021-05
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHOBBS, STEVE (OPTOMETRIST)
NPI Enumeration Date11/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 99 $1K
2022 126 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 188 188 $940.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $723.50
92002 13 13 $650.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $596.70