Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › SELMA › EYEMART EXPRESS LLC

EYEMART EXPRESS LLC

NPI: 1255893947 · SELMA, TX 78154 · Eyewear Supplier · NPI assigned 04/02/2019

$13K
Total Medicaid Paid
722
Total Claims
656
Beneficiaries
5
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLUSKIN, RIMMA (CREDENTIALING MANAGER)
Parent OrganizationEYEMART EXPRESS LLC
NPI Enumeration Date04/02/2019

Related Entities

Other providers sharing the same authorized official: LUSKIN, RIMMA

ProviderCityStateTotal Paid
EYEMART EXPRESS LLC STILLWATER OK $31K
EYEMART EXPRESS LLC WEST DES MOINES IA $21K
EYEMART EXPRESS LLC PELLA IA $9K
EYEMART EXPRESS LLC AMES IA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 419 $7K
2024 303 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 143 139 $4K
V2784 Lens, polycarbonate or equal, any index, per lens 262 223 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 167 144 $3K
V2750 Anti-reflective coating, per lens 116 116 $2K
V2025 Deluxe frame 34 34 $1K