Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › ATASCADERO › PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE

PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE

NPI: 1164590766 · ATASCADERO, CA 93422 · Optometrist · NPI assigned 12/01/2006

$8K
Total Medicaid Paid
535
Total Claims
535
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialHIDER, STEVEN (PARTNER OPTOMETRIST)
NPI Enumeration Date12/01/2006

Related Entities

Other providers sharing the same authorized official: HIDER, STEVEN

ProviderCityStateTotal Paid
PRIMARY EYECARE CENTER, AN OPTOMETRIC PRACTICE SAN LUIS OBISPO CA $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144 $3K
2019 146 $2K
2020 105 $1K
2021 140 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 376 376 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 57 57 $2K
V2020 Frames, purchases 65 65 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $480.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13 13 $475.80
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $129.24