Medicaid Provider Spending

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

MYEYEDR OPTOMETRY SOUTH CAROLINA, LLC

NPI: 1174984314 · MANNING, SC 29102 · Optometrist · NPI assigned 03/16/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$83K
Total Medicaid Paid
2,692
Total Claims
2,629
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date03/16/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 904 $29K
2019 556 $17K
2020 176 $6K
2022 14 $1K
2023 452 $14K
2024 590 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 389 379 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 328 322 $24K
92015 Determination of refractive state 1,209 1,177 $18K
92340 Fitting of spectacles, except for aphakia; monofocal 463 459 $7K
V2020 Frames, purchases 111 111 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 43 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50 42 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 12 12 $480.00
2026F 58 58 $0.00
G8732 No documentation of pain assessment, reason not given 13 13 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 13 13 $0.00