Medicaid Provider Spending

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

EDENEYECARE LLC

NPI: 1568901288 · ARLINGTON, VA 22206 · Multi-Specialty Clinic/Center · NPI assigned 02/14/2017

$53K
Total Medicaid Paid
3,468
Total Claims
3,409
Beneficiaries
6
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVO, TERRI (OWNER)
NPI Enumeration Date02/14/2017

Related Entities

Other providers sharing the same authorized official: VO, TERRI

ProviderCityStateTotal Paid
VISUALEYES OPTOMETRISTS PLLC FAIRFAX VA $124K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 600 $11K
2022 987 $14K
2023 1,137 $17K
2024 744 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 910 893 $22K
V2020 Frames, purchases 883 866 $18K
V2784 Lens, polycarbonate or equal, any index, per lens 934 917 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 119 117 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 67 66 $3K
92015 Determination of refractive state 555 550 $0.00