Medicaid Provider Spending

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

ABC OPTICAL PLLC

NPI: 1326816893 · PHOENIX, AZ 85006 · Eyewear Supplier · NPI assigned 12/14/2023

$24K
Total Medicaid Paid
297
Total Claims
297
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCASSIDY, BRENDAN (OWNER/PRESIDENT)
NPI Enumeration Date12/14/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 297 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 156 156 $14K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 88 88 $6K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 53 53 $4K