Medicaid Provider Spending

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

GLASTONBURY EYE CARE, LLC

NPI: 1518647676 · GLASTONBURY, CT 06033 · Optometrist · NPI assigned 07/24/2023

$7K
Total Medicaid Paid
206
Total Claims
206
Beneficiaries
6
Codes Billed
2024-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialNEDELCU, JOHN (OWNER)
NPI Enumeration Date07/24/2023

Related Entities

Other providers sharing the same authorized official: NEDELCU, JOHN

ProviderCityStateTotal Paid
CONNECTICUT EYE CARE, LLC ENFIELD CT $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 206 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 55 55 $2K
V2020 Frames, purchases 48 48 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27 27 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 45 45 $980.10
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 16 16 $471.68
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15 15 $421.20