Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1336597939 · SHIPPENSBURG, PA 17257 · Optometrist · NPI assigned 05/25/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$358K
Total Medicaid Paid
13,739
Total Claims
9,135
Beneficiaries
12
Codes Billed
2019-05
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date05/25/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 105 $2K
2020 292 $8K
2021 2,545 $67K
2022 3,868 $101K
2023 4,866 $131K
2024 2,063 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,942 1,983 $130K
V2020 Frames, purchases 2,573 2,277 $90K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,671 1,644 $68K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 797 781 $33K
V2784 Lens, polycarbonate or equal, any index, per lens 2,743 1,202 $13K
V2750 Anti-reflective coating, per lens 906 490 $13K
V2760 Scratch resistant coating, per lens 719 381 $5K
92015 Determination of refractive state 281 280 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 32 32 $1K
V2520 Contact lens, hydrophilic, spherical, per lens 12 12 $708.05
V2744 Tint, photochromatic, per lens 21 12 $540.00
V2025 Deluxe frame 42 41 $498.96