Medicaid Provider Spending

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

PASSAIC VISION CENTER ,LLC.

NPI: 1194912154 · PASSAIC, NJ 07055 · 332H00000X

$25K
Total Medicaid Paid
12,252
Total Claims
7,938
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,237 $4K
2019 1,441 $552.40
2020 986 $20.00
2021 1,409 $2K
2022 2,860 $9K
2023 2,225 $7K
2024 1,094 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 404 341 $15K
92015 800 703 $5K
92002 100 88 $3K
92340 70 69 $1K
92014 127 127 $929.60
92004 74 74 $222.40
V2020 Vision svcs frames purchases 2,342 2,319 $140.00
V2103 Spherocylindr 4.00d/12-2.00d 1,356 712 $0.00
V2784 Lens polycarb or equal 4,018 2,042 $0.00
V2104 Spherocylindr 4.00d/2.12-4d 301 152 $0.00
V2100 Lens spher single plano 4.00 2,090 1,033 $0.00
V2760 Scratch resistant coating 570 278 $0.00