Medicaid Provider Spending

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

JEMM OPTICAL BOUTIQUE LLC

NPI: 1326384322 · FREEHOLD, NJ 07728 · Optician · NPI assigned 12/19/2012

$1K
Total Medicaid Paid
149
Total Claims
148
Beneficiaries
2
Codes Billed
2018-08
First Month
2019-11
Last Month

Provider Details

Authorized OfficialPORSHAY, ELIZABETH (OWNER)
NPI Enumeration Date12/19/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $484.80
2019 108 $529.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 65 65 $834.00
V2020 Frames, purchases 84 83 $180.00