Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › LEBANON › CITY OPTICAL CO., INC.

CITY OPTICAL CO., INC.

NPI: 1568791697 · LEBANON, IN 46052 · 152W00000X

$225K
Total Medicaid Paid
3,902
Total Claims
3,722
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $1K
2019 112 $2K
2020 557 $33K
2021 716 $41K
2022 262 $14K
2023 1,051 $55K
2024 1,132 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 911 872 $115K
V2020 Vision svcs frames purchases 910 867 $53K
92015 1,543 1,478 $25K
V2103 Spherocylindr 4.00d/12-2.00d 249 232 $14K
92014 114 108 $11K
V2755 Uv lens/es 175 165 $6K