Medicaid Provider Spending

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

STATE OF NEW YORK COMPTROLLERS OFFICE

NPI: 1407829856 · NEW YORK, NY 10036 · Optometrist · NPI assigned 02/08/2006

$3.29M
Total Medicaid Paid
84,313
Total Claims
58,085
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCGOVERN, MICHAEL (CHIEF MEDICAL OFFICER)
NPI Enumeration Date02/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,854 $521K
2019 15,554 $611K
2020 8,373 $343K
2021 13,497 $530K
2022 14,410 $514K
2023 15,744 $545K
2024 4,881 $228K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 23,325 12,556 $1.34M
92065 15,808 6,726 $553K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,890 7,813 $422K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,531 4,451 $292K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,262 3,234 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,027 1,001 $88K
92015 Determination of refractive state 9,464 9,346 $67K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,865 1,931 $53K
92060 1,160 1,156 $52K
V2020 Frames, purchases 4,196 4,052 $37K
V2500 Contact lens, pmma, spherical, per lens 147 140 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 860 821 $32K
92250 808 787 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 270 270 $22K
92083 247 245 $13K
92002 137 137 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 64 64 $8K
92133 239 237 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,194 595 $6K
99284 Emergency department visit for the evaluation and management, high severity 35 29 $5K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 186 94 $4K
92134 140 136 $4K
92310 39 39 $2K
92025 123 123 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 182 91 $1K
92226 47 24 $779.28
92340 Fitting of spectacles, except for aphakia; monofocal 24 24 $360.00
V2784 Lens, polycarbonate or equal, any index, per lens 3,974 1,923 $247.00
92066 15 13 $237.38
V2755 U-v lens, per lens 54 27 $0.00