Medicaid Provider Spending

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

RIVER CITY VISION CENTER PA

NPI: 1649504804 · JACKSONVILLE, FL 32218 · Optometrist · NPI assigned 09/21/2009

$55K
Total Medicaid Paid
1,006
Total Claims
759
Beneficiary Records
8
Codes Billed
2022-05
First Month
2024-06
Last Month

Provider Details

Authorized OfficialWILLIAMS, CHANDRA (PRESIDENT)
NPI Enumeration Date09/21/2009

Related Entities

Other providers sharing the same authorized official: WILLIAMS, CHANDRA

ProviderCityStateTotal Paid
JC FAMILY SERVICES RENO NV $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 669 $42K
2023 159 $9K
2024 178 $4K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 247 240 $44K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 212 124 $7K
92340 Fitting of spectacles, except for aphakia; monofocal 67 59 $1K
V2025 Deluxe frame 163 100 $1K
92015 Determination of refractive state 119 117 $634.58
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 24 13 $604.00
V2020 Frames, purchases 161 93 $90.00
2023F 13 13 $0.00