Medicaid Provider Spending

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

HILLSIDE OPTICAL CORP.

NPI: 1508194689 · JAMAICA, NY 11432 · Optometrist · NPI assigned 11/30/2009

$5K
Total Medicaid Paid
306
Total Claims
304
Beneficiaries
4
Codes Billed
2018-06
First Month
2023-01
Last Month

Provider Details

Authorized OfficialBANGIYEV, MARK (OWNER)
NPI Enumeration Date11/30/2009

Related Entities

Other providers sharing the same authorized official: BANGIYEV, MARK

ProviderCityStateTotal Paid
JAMAICA OPTICAL INC. JAMAICA NY $912K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $3K
2019 94 $1K
2020 77 $322.08
2021 46 $195.00
2023 17 $46.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 38 38 $2K
V2020 Frames, purchases 139 139 $2K
92015 Determination of refractive state 110 110 $445.80
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 19 17 $72.00