Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF CONNECTICUT, LLC

NPI: 1518331230 · WATERBURY, CT 06708 · Optometrist · NPI assigned 11/18/2015

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

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

$4.72M
Total Medicaid Paid
139,336
Total Claims
136,254
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date11/18/2015

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
2018 26,117 $837K
2019 27,788 $919K
2020 12,019 $397K
2021 20,287 $692K
2022 19,022 $657K
2023 17,233 $609K
2024 16,870 $613K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 27,718 27,181 $993K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16,978 16,668 $845K
V2020 Frames, purchases 22,524 22,076 $642K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9,133 8,912 $593K
92340 Fitting of spectacles, except for aphakia; monofocal 24,237 23,649 $505K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 16,424 16,106 $475K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3,461 3,395 $140K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5,876 5,754 $132K
92341 3,903 3,811 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,371 1,295 $63K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 1,683 1,653 $58K
92250 1,385 1,364 $54K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 1,591 1,556 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,133 1,004 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 321 304 $22K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 395 382 $12K
92083 294 282 $10K
92133 265 255 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 211 193 $4K
92342 146 142 $4K
V2108 Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens 13 12 $369.90
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 70 65 $0.00
G8732 No documentation of pain assessment, reason not given 19 16 $0.00
2023F 51 51 $0.00
G8421 Bmi not documented and no reason is given 55 52 $0.00
M1221 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy 51 51 $0.00
G8785 Blood pressure reading not documented, reason not given 28 25 $0.00