Medicaid Provider Spending

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

CREIGHTON OPTICAL

NPI: 1295272953 · ALDEN, NY 14004 · Eyewear Supplier · NPI assigned 01/19/2017

$5K
Total Medicaid Paid
478
Total Claims
287
Beneficiaries
4
Codes Billed
2019-11
First Month
2024-04
Last Month

Provider Details

Authorized OfficialZAKRZEWSKI, DEREK (OWNER)
NPI Enumeration Date01/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $20.00
2020 39 $400.00
2021 229 $2K
2022 122 $1K
2024 63 $756.59

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 106 52 $2K
V2020 Frames, purchases 101 96 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $556.18
V2784 Lens, polycarbonate or equal, any index, per lens 259 127 $250.00