Medicaid Provider Spending

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

NPI: 1568689107 · SAN LEANDRO, CA 94577 · Optometrist · NPI assigned 04/18/2007

$4K
Total Medicaid Paid
275
Total Claims
275
Beneficiaries
4
Codes Billed
2021-08
First Month
2023-09
Last Month

Provider Details

Authorized OfficialSAAVEDRA, ROSALIA (OWNER/OPTOMETRIST)
NPI Enumeration Date04/18/2007

Related Entities

Other providers sharing the same authorized official: SAAVEDRA, ROSALIA

ProviderCityStateTotal Paid
ROSALIA SAAVEDRA,OD A PROFESSIONAL CORPORATION SAN LEANDRO CA $57.79
FOR YOUR EYES ONLY OPHTHALMIC MEDICAL CORP. WALNUT CREEK CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $57.68
2023 263 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37 37 $1K
V2020 Frames, purchases 54 54 $1K
92015 Determination of refractive state 142 142 $987.77
92340 Fitting of spectacles, except for aphakia; monofocal 42 42 $814.38