Medicaid Provider Spending

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

STEVEN SU, O.D. OPTOMETRIC CORPORATION

NPI: 1205608791 · ROWLAND HEIGHTS, CA 91748 · Optometrist · NPI assigned 10/27/2023

$6K
Total Medicaid Paid
350
Total Claims
347
Beneficiaries
4
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSU, STEVEN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/27/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 350 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 103 103 $3K
V2020 Frames, purchases 84 82 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 60 59 $911.33
92015 Determination of refractive state 103 103 $598.43