Medicaid Provider Spending

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

FOURTH OPTOMETRIC CARE OF CALIFORNIA

NPI: 1417627944 · ORANGE, CA 92868 · Optometrist · NPI assigned 09/16/2021

$785.13
Total Medicaid Paid
3,237
Total Claims
3,237
Beneficiaries
6
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRISON, BRITTANY (DIRECTOR)
NPI Enumeration Date09/16/2021

Related Entities

Other providers sharing the same authorized official: HARRISON, BRITTANY

ProviderCityStateTotal Paid
FIRST OPTOMETRIC CARE OF NORTHERN CALIFORNIA PC RANCHO CORDOVA CA $226K
MICHELLE WONG OPTOMETRY PC RENO NV $69K
THIRD OPTOMETRIC CARE OF CALIFORNIA RANCHO CORDOVA CA $64K
MICHELLE WONG OPTOMETRY PC RENO NV $45K
PROSPER COUNSELING AND CONSULTING COLUMBIA SC $31K
FOURTH OPTOMETRIC CARE OF CALIFORNIA TORRANCE CA $17K
MICHELLE WONG OPTOMETRY PC RENO NV $4K
FOURTH OPTOMETRIC CARE OF CALIFORNIA WESTMINSTER CA $410.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 448 $0.00
2024 2,789 $785.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 924 924 $230.16
92340 Fitting of spectacles, except for aphakia; monofocal 743 743 $213.29
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 338 338 $213.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 385 385 $71.00
92015 Determination of refractive state 770 770 $57.68
92341 77 77 $0.00