Medicaid Provider Spending

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

VUE EYE BOUTIQUE PLLC

NPI: 1396440749 · DEARBORN HEIGHTS, MI 48127 · Optometrist · NPI assigned 04/04/2023

$4K
Total Medicaid Paid
75
Total Claims
75
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAAB, HASSAN (OPTOMETRIST)
NPI Enumeration Date04/04/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 75 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 25 25 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
92015 Determination of refractive state 25 25 $267.08
92340 Fitting of spectacles, except for aphakia; monofocal 13 13 $132.90