Medicaid Provider Spending

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

CUSTOM EYES OPTOMETRY, INC.

NPI: 1548472921 · COSTA MESA, CA 92627 · Optometrist · NPI assigned 05/05/2007

$23K
Total Medicaid Paid
1,770
Total Claims
1,769
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialBOURGOIN, MICHAEL (PRESIDENT)
NPI Enumeration Date05/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 600 $7K
2019 835 $9K
2020 335 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 468 468 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 177 177 $5K
92015 Determination of refractive state 785 785 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 205 204 $2K
V2020 Frames, purchases 135 135 $2K