Medicaid Provider Spending

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

PRIME OPTICAL

NPI: 1609247279 · SAN BERNARDINO, CA 92404 · Eyewear Supplier · NPI assigned 10/08/2015

$54K
Total Medicaid Paid
2,518
Total Claims
2,473
Beneficiary Records
3
Codes Billed
2018-07
First Month
2022-11
Last Month

Provider Details

Authorized OfficialSALCEDO, MARIANO (OWNER/OPTICIAN)
NPI Enumeration Date10/08/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 262 $6K
2019 713 $15K
2020 660 $14K
2021 357 $8K
2022 526 $11K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
V2020 Frames, purchases 1,348 1,323 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 1,138 1,118 $24K
92341 32 32 $1K