MANASSAS OPTOMETRY, LLC
NPI: 1245560655
· MANASSAS, VA 20110
· 152W00000X
$405K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
427 |
$9K |
| 2019 |
1,093 |
$20K |
| 2020 |
552 |
$17K |
| 2021 |
1,541 |
$49K |
| 2022 |
1,699 |
$70K |
| 2023 |
3,026 |
$124K |
| 2024 |
3,195 |
$117K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,892 |
1,825 |
$136K |
| V2020 |
Vision svcs frames purchases |
2,388 |
2,330 |
$81K |
| 92014 |
|
1,131 |
1,100 |
$79K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
698 |
616 |
$39K |
| 92015 |
|
1,941 |
1,852 |
$20K |
| V2100 |
Lens spher single plano 4.00 |
1,311 |
1,235 |
$16K |
| 92340 |
|
910 |
874 |
$14K |
| V2025 |
Eyeglasses delux frames |
264 |
249 |
$6K |
| V2784 |
Lens polycarb or equal |
752 |
726 |
$6K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
47 |
47 |
$5K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
33 |
29 |
$1K |
| V2750 |
Anti-reflective coating |
42 |
41 |
$641.51 |
| V2200 |
Lens spher bifoc plano 4.00d |
12 |
12 |
$325.00 |
| V2760 |
Scratch resistant coating |
112 |
103 |
$126.00 |