Medicaid Provider Spending

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

SUPERVISION OPTOMETRY INC

NPI: 1194998443 · WEST COVINA, CA 91790 · Optometrist · NPI assigned 04/08/2008

$27K
Total Medicaid Paid
4,386
Total Claims
4,378
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEE, CHIEH JU (PRESIDENT)
NPI Enumeration Date04/08/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106 $0.00
2019 146 $79.31
2020 477 $5K
2021 893 $4K
2022 1,563 $8K
2023 424 $2K
2024 777 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,235 1,230 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 671 671 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 883 880 $6K
92015 Determination of refractive state 1,348 1,348 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 201 201 $3K
92341 48 48 $343.44