Medicaid Provider Spending

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

BLACK & WHITE LOOK OPTICAL CORP

NPI: 1366895005 · SOUTHFIELD, MI 48075 · Ophthalmology Physician · NPI assigned 07/18/2016

$12K
Total Medicaid Paid
784
Total Claims
777
Beneficiaries
7
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOATES, PATRICE (BILLER)
NPI Enumeration Date07/18/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $1K
2019 69 $1K
2020 12 $135.48
2021 114 $2K
2022 39 $462.98
2023 487 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 202 202 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 103 103 $2K
92015 Determination of refractive state 340 337 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31 31 $1K
92083 44 40 $1K
92342 46 46 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 18 18 $0.00