VAN B. LY, LLC
NPI: 1154585024
· OLYMPIA, WA 98501
· Clinic/Center
· NPI assigned 07/10/2008
$388K
Total Medicaid Paid
Provider Details
| Authorized Official | LY, VAN (OPTOMETRIST) |
| NPI Enumeration Date | 07/10/2008 |
Related Entities
Other providers sharing the same authorized official: LY, VAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |