Medicaid Provider Spending

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

STEPHENVILLE OPTICAL, PA

NPI: 1275655730 · STEPHENVILLE, TX 76401 · Eyewear Supplier · NPI assigned 04/04/2007

$4K
Total Medicaid Paid
91
Total Claims
90
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-03
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, DEY (OFFICE MANAGER)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 91 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 39 39 $3K
V2020 Frames, purchases 39 38 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13 13 $518.44