MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1154817583
· ELKHART, IN 46517
· 152W00000X
$826K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
201 |
$3K |
| 2019 |
667 |
$28K |
| 2020 |
2,121 |
$97K |
| 2021 |
4,708 |
$207K |
| 2022 |
4,416 |
$194K |
| 2023 |
3,843 |
$175K |
| 2024 |
2,247 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
2,573 |
2,248 |
$254K |
| 92014 |
|
2,565 |
2,234 |
$210K |
| V2020 |
Vision svcs frames purchases |
4,832 |
4,521 |
$146K |
| V2100 |
Lens spher single plano 4.00 |
3,129 |
2,861 |
$138K |
| 92015 |
|
4,683 |
4,376 |
$64K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
217 |
194 |
$9K |
| V2200 |
Lens spher bifoc plano 4.00d |
68 |
57 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
33 |
27 |
$1K |
| V2784 |
Lens polycarb or equal |
50 |
50 |
$543.12 |
| V2750 |
Anti-reflective coating |
53 |
53 |
$260.56 |