Medicaid Provider Spending

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

SUPER VISION LLC

NPI: 1295038552 · JERSEY CITY, NJ 07307 · Optometrist · NPI assigned 12/08/2010

$41K
Total Medicaid Paid
2,892
Total Claims
2,832
Beneficiaries
9
Codes Billed
2022-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRAITHATHA, SUNNY (OWNER)
NPI Enumeration Date12/08/2010

Related Entities

Other providers sharing the same authorized official: RAITHATHA, SUNNY

ProviderCityStateTotal Paid
VISION WORLD PROF CORP ELIZABETH NJ $215K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 26 $937.80
2023 1,370 $19K
2024 1,496 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 468 466 $22K
V2020 Frames, purchases 439 437 $6K
92250 225 212 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 337 330 $5K
92015 Determination of refractive state 455 447 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 403 393 $720.00
V2784 Lens, polycarbonate or equal, any index, per lens 103 103 $399.00
2026F 252 235 $0.00
3072F 210 209 $0.00