Medicaid Provider Spending

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

DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.

NPI: 1669004024 · HUNTINGTON PARK, CA 90255 · Optometrist · NPI assigned 02/04/2020

$40K
Total Medicaid Paid
2,651
Total Claims
2,647
Beneficiaries
5
Codes Billed
2023-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERNANDEZ, DIANE (WONER)
Parent OrganizationDRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.
NPI Enumeration Date02/04/2020

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, DIANE

ProviderCityStateTotal Paid
LIFE STYLES SUPPORTS, INC. SEWELL NJ $7.94M
DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D. DUARTE CA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 168 $2K
2024 2,483 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 569 567 $16K
V2020 Frames, purchases 742 742 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 528 528 $7K
92015 Determination of refractive state 652 650 $4K
92341 160 160 $3K