Medicaid Provider Spending

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

CUSTOM OPTICAL, INC.

NPI: 1386702728 · MERIDIAN, MS 39301 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/05/2006

$38K
Total Medicaid Paid
1,281
Total Claims
1,133
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCORNETT, KATHY (MANAGER)
NPI Enumeration Date12/05/2006

Related Entities

Other providers sharing the same authorized official: CORNETT, KATHY

ProviderCityStateTotal Paid
BUTLER OPTICAL CENTER,INC BUTLER AL $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 348 $10K
2019 292 $9K
2020 245 $7K
2021 188 $6K
2022 123 $3K
2023 71 $1K
2024 14 $440.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 1,157 1,025 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 84 70 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 28 26 $803.90
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $121.66