Medicaid Provider Spending

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

VISION ONE OPTOMETRY OF WEST COVINA, INC.

NPI: 1467768267 · WEST COVINA, CA 91791 · Optometrist · NPI assigned 08/31/2010

$26K
Total Medicaid Paid
3,627
Total Claims
3,627
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARTINEZ, JESSIKA (PRESIDENT)
NPI Enumeration Date08/31/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 422 $7.21
2019 556 $86.52
2020 359 $3K
2021 195 $1K
2022 684 $5K
2023 615 $4K
2024 796 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 647 647 $8K
V2020 Frames, purchases 802 802 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 392 392 $7K
92015 Determination of refractive state 1,631 1,631 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 155 155 $523.53