Medicaid Provider Spending

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

EYE STORE-SHOPPE LLC

NPI: 1235383498 · COLLEGEVILLE, PA 19426 · Optometrist

$3K
Total Medicaid Paid
193
Total Claims
79
Beneficiaries
4
Codes Billed
2020-12
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 111 $2K
2021 82 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 51 30 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 42 12 $1K
92014 12 12 $480.00
V2784 Lens, polycarbonate or equal, any index, per lens 88 25 $120.00