Medicaid Provider Spending

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

PORT JEFFERSON OPTICIANS INC

NPI: 1154443158 · PORT JEFFERSON STATION, NY 11776 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/03/2007

$1K
Total Medicaid Paid
94
Total Claims
66
Beneficiaries
3
Codes Billed
2023-11
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMASTROROCCO, PAUL (PRESIDENT/OPTICIAN)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: MASTROROCCO, PAUL

ProviderCityStateTotal Paid
BROOKHAVEN OPTICIANS INC. SMITHTOWN NY $17K
STONY BROOK OPTICIANS INC STONY BROOK NY $3K
EAST MAIN STREET OPTICIANS INC. PATCHOGUE NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 94 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 32 16 $656.40
V2020 Frames, purchases 38 38 $443.50
V2784 Lens, polycarbonate or equal, any index, per lens 24 12 $0.00