Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1245845742 · WHITEHALL, PA 18052 · 152W00000X

$15K
Total Medicaid Paid
545
Total Claims
431
Beneficiaries
6
Codes Billed
2023-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $530.24
2024 532 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 159 157 $7K
V2100 Lens spher single plano 4.00 92 45 $3K
V2020 Vision svcs frames purchases 145 125 $3K
V2784 Lens polycarb or equal 68 31 $570.68
92015 61 61 $467.10
V2750 Anti-reflective coating 20 12 $319.00