MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1164981577
· LA PORTE, IN 46350
· 152W00000X
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
39 |
$114.67 |
| 2021 |
400 |
$20K |
| 2022 |
763 |
$31K |
| 2023 |
790 |
$34K |
| 2024 |
386 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
546 |
422 |
$49K |
| V2020 |
Vision svcs frames purchases |
753 |
707 |
$19K |
| 92014 |
|
233 |
191 |
$19K |
| V2100 |
Lens spher single plano 4.00 |
301 |
290 |
$9K |
| 92015 |
|
545 |
527 |
$8K |