Medicaid Provider Spending

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

SUPREME EYE CARE LLC

NPI: 1255097002 · LANHAM, MD 20706 · Optometrist · NPI assigned 11/15/2021

$16K
Total Medicaid Paid
796
Total Claims
756
Beneficiaries
5
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialIBRAHIM, OLUFUNSO (OWNER)
NPI Enumeration Date11/15/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 138 $4K
2024 658 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 224 211 $9K
V2020 Frames, purchases 189 180 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 83 81 $2K
92015 Determination of refractive state 208 198 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 92 86 $429.00