Medicaid Provider Spending

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

FABULOUS OPTICAL INC

NPI: 1194185900 · BROOKLYN, NY 11216 · 156FX1800X

$493K
Total Medicaid Paid
19,437
Total Claims
15,293
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,368 $37K
2019 2,074 $48K
2020 2,104 $43K
2021 3,740 $91K
2022 4,352 $114K
2023 5,168 $143K
2024 631 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 2,450 2,445 $180K
92250 1,675 1,672 $74K
V2103 Spherocylindr 4.00d/12-2.00d 4,015 2,008 $61K
V2020 Vision svcs frames purchases 4,533 4,449 $46K
92285 1,446 1,445 $40K
92014 622 621 $35K
V2203 Lens sphcyl bifocal 4.00d/.1 1,077 569 $24K
92083 184 181 $9K
V2100 Lens spher single plano 4.00 742 374 $9K
92012 228 226 $9K
92133 71 71 $2K
V2219 Lens bifocal seg width over 12 12 $1K
92340 53 52 $585.00
76514 25 25 $183.77
92341 12 12 $180.00
V2784 Lens polycarb or equal 2,292 1,131 $100.00