RAINES OPTICAL COMPANY, LLC
NPI: 1447383823
· FAR ROCKAWAY, NY 11691
· 332H00000X
$114K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,603 |
$18K |
| 2019 |
3,066 |
$17K |
| 2022 |
49 |
$1K |
| 2024 |
3,063 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,768 |
2,724 |
$32K |
| 92004 |
|
745 |
743 |
$26K |
| V2100 |
Lens spher single plano 4.00 |
1,138 |
1,064 |
$26K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,428 |
713 |
$11K |
| 92014 |
|
610 |
608 |
$9K |
| V2200 |
Lens spher bifoc plano 4.00d |
210 |
207 |
$6K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
310 |
155 |
$3K |
| S0621 |
Routine ophthalmological exa |
72 |
72 |
$2K |
| V2755 |
Uv lens/es |
890 |
445 |
$0.00 |
| V2784 |
Lens polycarb or equal |
1,610 |
803 |
$0.00 |