MYEYEDR OPTOMETRY OF MICHIGAN, LLC
NPI: 1376128801
· SAINT JOSEPH, MI 49085
· 152W00000X
$166K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,135 |
$32K |
| 2022 |
1,840 |
$52K |
| 2023 |
1,849 |
$56K |
| 2024 |
949 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
725 |
725 |
$53K |
| 92014 |
|
729 |
729 |
$45K |
| V2020 |
Vision svcs frames purchases |
1,291 |
1,287 |
$34K |
| 92015 |
|
1,559 |
1,559 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
685 |
682 |
$7K |
| 92340 |
|
204 |
202 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
306 |
304 |
$4K |
| S0621 |
Routine ophthalmological exa |
46 |
46 |
$2K |
| S0620 |
Routine ophthalmological exa |
30 |
30 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
37 |
37 |
$422.72 |
| V2784 |
Lens polycarb or equal |
52 |
52 |
$0.00 |
| V2750 |
Anti-reflective coating |
109 |
107 |
$0.00 |