Medicaid Provider Spending

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

MYEYEDR. OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1477098622 · YORK, PA 17408 · Optometrist · NPI assigned 12/27/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$300K
Total Medicaid Paid
10,620
Total Claims
8,216
Beneficiaries
12
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date12/27/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 54 $2K
2020 792 $24K
2021 4,833 $136K
2022 1,733 $51K
2023 495 $15K
2024 2,713 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,603 1,520 $107K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,332 1,286 $56K
V2020 Frames, purchases 1,693 1,501 $52K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,019 998 $47K
V2784 Lens, polycarbonate or equal, any index, per lens 1,585 771 $10K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 241 238 $10K
V2750 Anti-reflective coating, per lens 675 455 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 442 442 $4K
92015 Determination of refractive state 788 784 $4K
V2025 Deluxe frame 189 185 $2K
S0620 Routine ophthalmological examination including refraction; new patient 12 12 $360.00
V2760 Scratch resistant coating, per lens 41 24 $260.00