Medicaid Provider Spending

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

VALLEY OPTOMETRY EYECARE CENTER, INC.

NPI: 1649400920 · RESEDA, CA 91335 · Optometrist · NPI assigned 07/21/2009

$49K
Total Medicaid Paid
2,619
Total Claims
2,602
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKONGSAKUL, ANDY (DIRECTOR)
NPI Enumeration Date07/21/2009

Related Entities

Other providers sharing the same authorized official: KONGSAKUL, ANDY

ProviderCityStateTotal Paid
HILLSIDE OPTOMETRY INC GRANADA HILLS CA $555.23

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $0.00
2019 444 $90.47
2020 237 $2K
2021 210 $2K
2022 634 $22K
2023 538 $15K
2024 392 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 540 539 $24K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 410 410 $16K
V2020 Frames, purchases 66 52 $4K
92015 Determination of refractive state 1,582 1,582 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 21 19 $0.00