Medicaid Provider Spending

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

SUTTON VISION CENTER INC

NPI: 1588950869 · SUTTON, NE 68979 · Eyewear Supplier · NPI assigned 06/24/2011

$47K
Total Medicaid Paid
1,921
Total Claims
1,823
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMOORE, JESSICA (OWNER)
NPI Enumeration Date06/24/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 152 $4K
2019 206 $5K
2020 133 $3K
2021 274 $7K
2022 471 $11K
2023 474 $12K
2024 211 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 470 457 $19K
92015 Determination of refractive state 976 900 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 205 200 $7K
V2020 Frames, purchases 124 122 $4K
92002 26 26 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13 12 $190.00
V2756 Eye glass case 107 106 $116.26