Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › NORFOLK › MID ATLANTIC OPTICAL LLC

MID ATLANTIC OPTICAL LLC

NPI: 1235594524 · NORFOLK, VA 23502 · Optometrist · NPI assigned 12/31/2015

$1K
Total Medicaid Paid
86
Total Claims
86
Beneficiaries
3
Codes Billed
2019-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialWALLER, ROSE (PRACTICE MANAGER)
NPI Enumeration Date12/31/2015

Related Entities

Other providers sharing the same authorized official: WALLER, ROSE

ProviderCityStateTotal Paid
MID ATLANTIC DERMATOLOGY CHESAPEAKE VA $472K
OPHTHALMIC CONSULTANTS OF TIDEWATER PC CHESAPEAKE VA $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 29 $625.16
2020 57 $560.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12 12 $625.16
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14 14 $560.00
92015 Determination of refractive state 60 60 $0.00