Medicaid Provider Spending

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

VISUAL EDGE OPTOMERTIC GROUP

NPI: 1225028236 · GILROY, CA 95020 · Optometrist · NPI assigned 10/21/2005

$4K
Total Medicaid Paid
816
Total Claims
802
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialKOVACH, PETER (VICE PRESIDENT)
NPI Enumeration Date10/21/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 816 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 218 218 $2K
V2020 Frames, purchases 138 131 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 121 114 $544.41
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 42 42 $390.50
92015 Determination of refractive state 297 297 $389.34