Medicaid Provider Spending

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

HOYA OPTICAL LABS OF AMERICA, INC.

NPI: 1104153303 · GROVE CITY, OH 43123 · Eyewear Supplier · NPI assigned 11/09/2009

$878K
Total Medicaid Paid
231,944
Total Claims
151,746
Beneficiaries
26
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialCRAWLEY, SUSAN (DIRECTOR OF INTERNAL AUDIT & COMPLI)
NPI Enumeration Date11/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115,827 $434K
2019 12,454 $49K
2020 103,663 $395K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 47,642 47,498 $247K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 45,004 26,338 $179K
V2784 Lens, polycarbonate or equal, any index, per lens 81,701 40,720 $163K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15,620 9,038 $93K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 16,088 10,721 $64K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 5,670 3,946 $28K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 4,234 3,046 $25K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 4,680 3,098 $23K
V2744 Tint, photochromatic, per lens 1,828 913 $14K
V2204 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 1,015 773 $7K
V2207 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens 982 668 $7K
V2111 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens 687 475 $5K
V2108 Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens 1,014 748 $5K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 972 723 $5K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens 870 630 $4K
V2303 Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens 211 118 $2K
V2783 Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens 230 113 $2K
V2715 Prism, per lens 1,316 702 $1K
V2112 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens 110 82 $654.00
V2211 Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens 45 27 $405.00
V2109 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens 52 41 $260.00
V2102 Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens 17 13 $102.00
V2745 Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens 190 190 $100.00
V2750 Anti-reflective coating, per lens 480 478 $0.00
V2781 Progressive lens, per lens 1,273 634 $0.00
V2780 Oversize lens, per lens 13 13 $0.00