Medicaid Provider Spending

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

LEGACY OPTICAL INC

NPI: 1114515467 · HAMPTON BAYS, NY 11946 · Contact Lens Fitter · NPI assigned 01/04/2021

$5K
Total Medicaid Paid
134
Total Claims
133
Beneficiaries
3
Codes Billed
2021-09
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPFLEGER, LISA (PRESIDENT/NYS OPHTHALMIC DISPENSER)
NPI Enumeration Date01/04/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 109 $4K
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 46 46 $4K
92015 Determination of refractive state 62 61 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 26 26 $390.00