Medicaid Provider Spending

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

JORDAN FAMILY EYECARE INC

NPI: 1336148634 · ROCHESTER, NH 03867 · Optometrist · NPI assigned 07/19/2005

$895K
Total Medicaid Paid
38,927
Total Claims
36,260
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACQUES, VICKI (BILLING SPECIALIST)
NPI Enumeration Date07/19/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,028 $210K
2019 9,341 $224K
2020 4,141 $88K
2021 5,144 $117K
2022 4,649 $112K
2023 3,579 $78K
2024 3,045 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,668 3,365 $191K
V2020 Frames, purchases 7,707 7,251 $175K
92340 Fitting of spectacles, except for aphakia; monofocal 6,537 6,129 $174K
92015 Determination of refractive state 5,810 5,346 $111K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,411 1,297 $96K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4,230 3,982 $69K
V2784 Lens, polycarbonate or equal, any index, per lens 6,736 6,347 $35K
92341 534 518 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,034 966 $9K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 299 290 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 192 161 $6K
00000 98 25 $2K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 58 57 $710.92
92250 68 52 $394.27
92370 37 35 $350.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 25 25 $263.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 209 180 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 109 94 $0.00
99072 16 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 47 38 $0.00
1036F 102 90 $0.00