Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› LOGAN OPTICAL, INC
LOGAN OPTICAL, INC
NPI: 1144315409 · SYRACUSE, NY 13202 ·
156F00000X
$103K
Total Medicaid Paid
2,678
Total Claims
2,664
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
972
$39K
2019
687
$27K
2020
446
$17K
2021
573
$21K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
1,094
1,086
$43K
V2100
Lens spher single plano 4.00
680
676
$40K
92340
494
492
$7K
S0580
Polycarb lens
323
323
$6K
92004
73
73
$5K
V2203
Lens sphcyl bifocal 4.00d/.1
14
14
$1K