Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › GREENWICH › OLD SARATOGA OPTOMETRY & OPHTHALMIC DISPENSING, PLLC

OLD SARATOGA OPTOMETRY & OPHTHALMIC DISPENSING, PLLC

NPI: 1275720781 · GREENWICH, NY 12834 · Optometrist · NPI assigned 09/28/2007

$1K
Total Medicaid Paid
139
Total Claims
130
Beneficiaries
3
Codes Billed
2019-09
First Month
2023-02
Last Month

Provider Details

Authorized OfficialGARDNER, ANGELA (OWNER)
NPI Enumeration Date09/28/2007

Related Entities

Other providers sharing the same authorized official: GARDNER, ANGELA

ProviderCityStateTotal Paid
RED CANYON, LLC FREDERICK MD $737K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 27 $8.66
2021 45 $415.00
2022 50 $770.42
2023 17 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 14 $770.42
V2020 Frames, purchases 15 13 $415.00
92015 Determination of refractive state 109 103 $8.66