Medicaid Provider Spending

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

SOUTH BAY EYE CARE OPTOMETRY, INC

NPI: 1477785772 · LOMITA, CA 90717 · Optometrist · NPI assigned 08/20/2009

$37K
Total Medicaid Paid
5,430
Total Claims
5,426
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSU, ZEN-NI (PRESIDENT)
NPI Enumeration Date08/20/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 417 $0.00
2019 592 $298.97
2020 533 $3K
2021 625 $1K
2022 913 $4K
2023 1,066 $6K
2024 1,284 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 756 755 $10K
V2020 Frames, purchases 1,204 1,203 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 1,125 1,123 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 490 490 $6K
92015 Determination of refractive state 1,855 1,855 $4K