Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BAY SHORE › DLJ SPECTACLES

DLJ SPECTACLES

NPI: 1629545157 · BAY SHORE, NY 11706 · 152W00000X

$217K
Total Medicaid Paid
6,665
Total Claims
5,671
Beneficiaries
7
Codes Billed
2019-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $379.08
2020 621 $23K
2021 1,265 $45K
2022 1,545 $55K
2023 2,044 $61K
2024 1,175 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 1,420 1,353 $87K
92250 1,679 1,629 $68K
V2100 Lens spher single plano 4.00 1,917 1,074 $35K
V2020 Vision svcs frames purchases 1,198 1,174 $15K
92014 225 220 $11K
99203 14 12 $706.10
92015 212 209 $49.32