Medicaid Provider Spending

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

PURE VISION OPTICAL 2 LLC

NPI: 1164156261 · BRONX, NY 10468 · Optometrist · NPI assigned 07/13/2022

$82K
Total Medicaid Paid
2,007
Total Claims
1,835
Beneficiaries
7
Codes Billed
2023-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYAKUBOV, OREN (OWNER)
NPI Enumeration Date07/13/2022

Related Entities

Other providers sharing the same authorized official: YAKUBOV, OREN

ProviderCityStateTotal Paid
PURE VISION OPTICAL LLC FOREST HILLS NY $222K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,513 $63K
2024 494 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 534 533 $39K
92250 455 453 $20K
V2020 Frames, purchases 395 391 $7K
92285 268 265 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 307 158 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22 22 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 26 13 $100.00