Medicaid Provider Spending

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

FOR EYES OPTICAL OF PA

NPI: 1669525135 · ASPEN HILL, MD 20906 · Eyewear Supplier · NPI assigned 01/19/2007

Deactivated NPI · This NPI was deactivated on 07/10/2013. Reactivated 08/02/2013.
$6K
Total Medicaid Paid
671
Total Claims
640
Beneficiaries
6
Codes Billed
2022-12
First Month
2024-04
Last Month

Provider Details

Authorized OfficialWOLMAN, PHILIP (OWNER)
NPI Enumeration Date01/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 35 $128.00
2023 421 $4K
2024 215 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 147 135 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 147 144 $1K
V2025 Deluxe frame 157 153 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 99 89 $845.00
V2784 Lens, polycarbonate or equal, any index, per lens 78 76 $312.00
V2750 Anti-reflective coating, per lens 43 43 $0.00