Medicaid Provider Spending

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

GARNET VALLEY EYE CARE PC

NPI: 1548658180 · ASTON, PA 19014 · Primary Care Clinic/Center · NPI assigned 01/06/2015

$24K
Total Medicaid Paid
1,107
Total Claims
494
Beneficiaries
5
Codes Billed
2019-10
First Month
2021-04
Last Month

Provider Details

Authorized OfficialSALLOGA, HOLLY (OPTOMETRIST)
NPI Enumeration Date01/06/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 48 $2K
2020 317 $7K
2021 742 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 382 100 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 195 192 $8K
V2020 Frames, purchases 189 99 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $520.00
V2784 Lens, polycarbonate or equal, any index, per lens 328 90 $120.00