Medicaid Provider Spending

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

IDEAL VISION CENTER INC

NPI: 1336775105 · BENSALEM, PA 19020 · Occupational Vision Optometrist · NPI assigned 03/12/2020

$28K
Total Medicaid Paid
1,155
Total Claims
667
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialVU, MAN (PRESIDEN/CEO OF IVC INC)
NPI Enumeration Date03/12/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $671.75
2021 30 $1K
2022 188 $5K
2023 447 $12K
2024 474 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 342 329 $14K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 279 75 $8K
V2020 Frames, purchases 146 80 $5K
99205 Prolong outpt/office vis 12 12 $739.08
V2784 Lens, polycarbonate or equal, any index, per lens 276 73 $300.00
92015 100 98 $143.55