MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1336635770
· MISHAWAKA, IN 46545
· 152W00000X
$927K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
283 |
$9K |
| 2019 |
1,347 |
$62K |
| 2020 |
2,195 |
$104K |
| 2021 |
3,833 |
$163K |
| 2022 |
4,997 |
$213K |
| 2023 |
4,546 |
$189K |
| 2024 |
3,400 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,662 |
3,273 |
$319K |
| 92004 |
|
2,146 |
1,893 |
$217K |
| V2020 |
Vision svcs frames purchases |
4,995 |
4,621 |
$147K |
| V2100 |
Lens spher single plano 4.00 |
3,137 |
2,880 |
$128K |
| 92015 |
|
5,325 |
4,907 |
$72K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
822 |
737 |
$33K |
| V2200 |
Lens spher bifoc plano 4.00d |
125 |
109 |
$7K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
59 |
51 |
$3K |
| V2784 |
Lens polycarb or equal |
101 |
99 |
$926.78 |
| V2750 |
Anti-reflective coating |
187 |
174 |
$562.67 |
| G8427 |
Docrev cur meds by elig clin |
12 |
12 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
30 |
30 |
$0.00 |