Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › SUPREME VISION CENTER INC

SUPREME VISION CENTER INC

NPI: 1265106496 · BRONX, NY 10475 · Vision Therapy Optometrist · NPI assigned 08/02/2021

$3K
Total Medicaid Paid
151
Total Claims
149
Beneficiaries
2
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBANGIYEV, EDWARD (OWNER/PRESIDENT)
NPI Enumeration Date08/02/2021

Related Entities

Other providers sharing the same authorized official: BANGIYEV, EDWARD

ProviderCityStateTotal Paid
BRONX VISION CENTER INC. BRONX NY $1.29M
ARTS OF OPTICS CORP. NEW YORK NY $574K
FABULOUS OPTICAL INC BROOKLYN NY $493K
EYECARE OF THE BRONX INC. BROOKLYN NY $72K
COOP CITY EYE CARE INC BRONX NY $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 151 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 70 69 $2K
V2020 Frames, purchases 81 80 $2K