Medicaid Provider Spending

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

COASTAL EYE ASSOCIATES INC

NPI: 1174601132 · WESTERLY, RI 02891 · Optometrist · NPI assigned 11/01/2006

$22K
Total Medicaid Paid
832
Total Claims
799
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMISTO, HOLLY (OWNER)
NPI Enumeration Date11/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 236 $6K
2019 108 $3K
2020 39 $732.60
2021 107 $3K
2022 206 $6K
2024 136 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 256 240 $6K
V2020 Frames, purchases 257 251 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 73 70 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 74 71 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 131 126 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41 41 $2K