Medicaid Provider Spending

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

PARK AVENUE OPTOMETRY INC

NPI: 1508018748 · POMONA, CA 91768 · Optometrist · NPI assigned 10/21/2008

$863K
Total Medicaid Paid
56,156
Total Claims
55,955
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALANIS, RUDOLPH (PRESIDENT)
NPI Enumeration Date10/21/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,573 $44K
2019 7,578 $92K
2020 7,682 $118K
2021 9,443 $147K
2022 5,871 $103K
2023 11,716 $191K
2024 8,293 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8,530 8,509 $207K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6,380 6,366 $180K
V2020 Frames, purchases 11,998 11,975 $169K
92340 Fitting of spectacles, except for aphakia; monofocal 10,325 10,299 $148K
92015 Determination of refractive state 14,896 14,861 $76K
92341 1,679 1,676 $35K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,402 1,323 $21K
92250 759 759 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 172 172 $6K
92083 15 15 $329.83