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MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC
MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC
NPI: 1477098622
· YORK, PA 17408
· 152W00000X
$300K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
54 |
$2K |
| 2020 |
792 |
$24K |
| 2021 |
4,833 |
$136K |
| 2022 |
1,733 |
$51K |
| 2023 |
495 |
$15K |
| 2024 |
2,713 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
2,603 |
1,520 |
$107K |
| 92014 |
|
1,332 |
1,286 |
$56K |
| V2020 |
Vision svcs frames purchases |
1,693 |
1,501 |
$52K |
| 92004 |
|
1,019 |
998 |
$47K |
| V2784 |
Lens polycarb or equal |
1,585 |
771 |
$10K |
| 92012 |
|
241 |
238 |
$10K |
| V2750 |
Anti-reflective coating |
675 |
455 |
$7K |
| 92340 |
|
442 |
442 |
$4K |
| 92015 |
|
788 |
784 |
$4K |
| V2025 |
Eyeglasses delux frames |
189 |
185 |
$2K |
| S0620 |
Routine ophthalmological exa |
12 |
12 |
$360.00 |
| V2760 |
Scratch resistant coating |
41 |
24 |
$260.00 |