Medicaid Provider Spending

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

VAN B. LY, LLC

NPI: 1154585024 · OLYMPIA, WA 98501 · Clinic/Center · NPI assigned 07/10/2008

$388K
Total Medicaid Paid
14,416
Total Claims
14,192
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLY, VAN (OPTOMETRIST)
NPI Enumeration Date07/10/2008

Related Entities

Other providers sharing the same authorized official: LY, VAN

ProviderCityStateTotal Paid
V. T. LY OD INC FOUNTAIN VALLEY CA $119K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 465 $18K
2019 883 $37K
2020 1,237 $35K
2021 2,492 $82K
2022 3,207 $117K
2023 3,272 $58K
2024 2,860 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,848 2,823 $168K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,514 2,485 $125K
92340 Fitting of spectacles, except for aphakia; monofocal 3,482 3,370 $52K
92015 Determination of refractive state 5,572 5,514 $43K