Medicaid Provider Spending

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

W. OPTICAL 2 LLC

NPI: 1689110710 · GRAND RAPIDS, MI 49544 · Optician · NPI assigned 01/12/2017

$11K
Total Medicaid Paid
410
Total Claims
410
Beneficiaries
7
Codes Billed
2022-03
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWINTERS, AARON (CEO)
NPI Enumeration Date01/12/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 167 $4K
2023 243 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 100 100 $6K
V2020 Frames, purchases 126 126 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 62 62 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 74 74 $438.00
92015 Determination of refractive state 24 24 $264.27
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $181.89
92250 12 12 $64.77