Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF WEST VIRGINIA, PLLC

NPI: 1285296145 · BUCKHANNON, WV 26201 · Optometrist · NPI assigned 07/01/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$320K
Total Medicaid Paid
8,672
Total Claims
7,855
Beneficiaries
13
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date07/01/2019

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 780 $32K
2021 647 $19K
2022 2,423 $80K
2023 2,593 $93K
2024 2,229 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,796 1,502 $101K
V2020 Frames, purchases 1,575 1,541 $70K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 754 615 $48K
V2784 Lens, polycarbonate or equal, any index, per lens 728 717 $27K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 777 765 $26K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 466 458 $11K
92250 1,041 849 $11K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 433 422 $11K
92015 Determination of refractive state 899 840 $10K
92083 73 58 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 52 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 64 24 $409.06
92133 12 12 $197.26