Medicaid Provider Spending

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

ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

NPI: 1578618252 · SANTA MARIA, CA 93454 · Eyewear Supplier · NPI assigned 01/24/2007

$28K
Total Medicaid Paid
1,228
Total Claims
798
Beneficiaries
4
Codes Billed
2018-04
First Month
2020-06
Last Month

Provider Details

Authorized OfficialBYLSMA, STEPHEN (PRESIDENT)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: BYLSMA, STEPHEN

ProviderCityStateTotal Paid
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION SANTA MARIA CA $2.83M
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION LOMPOC CA $302K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51 $1K
2019 315 $7K
2020 862 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2784 Lens, polycarbonate or equal, any index, per lens 649 324 $15K
V2020 Frames, purchases 315 315 $7K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 144 82 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 120 77 $2K