Medicaid Provider Spending

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

LISA KIT YI KO OPTOMETRIST INC.

NPI: 1659688182 · SAN JOSE, CA 95123 · Low Vision Rehabilitation Optometrist · NPI assigned 09/03/2010

$25K
Total Medicaid Paid
5,595
Total Claims
5,553
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialKO, LISA (OWNER)
NPI Enumeration Date09/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,041 $5K
2019 1,099 $5K
2020 1,496 $7K
2021 1,855 $7K
2022 104 $553.71

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,070 1,061 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 605 597 $5K
V2020 Frames, purchases 1,130 1,127 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 957 957 $4K
92015 Determination of refractive state 1,808 1,786 $3K
92341 25 25 $85.86