Medicaid Provider Spending

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

JEWELERS & OPTICALS LTD

NPI: 1154667764 · MIDDLE VILLAGE, NY 11379 · Corneal and Contact Management Optometrist · NPI assigned 12/31/2012

$1K
Total Medicaid Paid
136
Total Claims
123
Beneficiaries
3
Codes Billed
2019-03
First Month
2019-05
Last Month

Provider Details

Authorized OfficialMATATOV, SOLOMON (OWNER)
NPI Enumeration Date12/31/2012

Related Entities

Other providers sharing the same authorized official: MATATOV, SOLOMON

ProviderCityStateTotal Paid
EYEWORLD OZONE PARK NY $65K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 136 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 55 55 $725.00
V2020 Frames, purchases 55 55 $292.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 26 13 $246.48