Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › TRAVERSE CITY › NICHOLS OPTICAL INC

NICHOLS OPTICAL INC

NPI: 1679558712 · TRAVERSE CITY, MI 49684 · Eyewear Supplier · NPI assigned 12/13/2005

$15K
Total Medicaid Paid
501
Total Claims
500
Beneficiaries
4
Codes Billed
2019-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialWIRTH, LORI (GENERAL MANAGER)
NPI Enumeration Date12/13/2005

Related Entities

Other providers sharing the same authorized official: WIRTH, LORI

ProviderCityStateTotal Paid
NICHOLS OPTICAL INC MT PLEASANT MI $10K
NICHOLS OPTICAL INC TRAVERSE CITY MI $607.75

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 208 $7K
2020 55 $1K
2021 141 $4K
2022 85 $2K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 217 217 $7K
S0620 Routine ophthalmological examination including refraction; new patient 125 125 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 134 133 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 25 $284.05