Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF WEST VIRGINIA, PLLC

NPI: 1376105239 · BRIDGEPORT, WV 26330 · Optometrist · NPI assigned 07/01/2019

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

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

$216K
Total Medicaid Paid
5,387
Total Claims
5,011
Beneficiaries
9
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date07/01/2019

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
2020 524 $26K
2021 234 $10K
2022 1,444 $54K
2023 2,067 $80K
2024 1,118 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,066 876 $64K
V2020 Frames, purchases 1,377 1,357 $60K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 408 322 $25K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 704 690 $25K
V2784 Lens, polycarbonate or equal, any index, per lens 647 636 $23K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 384 379 $9K
92015 Determination of refractive state 652 610 $7K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 132 128 $3K
92250 17 13 $143.42