Medicaid Provider Spending

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

SUPREME EYECARE CENTER CORP

NPI: 1699493049 · BROOKLYN, NY 11237 · Optometrist · NPI assigned 08/19/2022

$92K
Total Medicaid Paid
2,670
Total Claims
2,438
Beneficiaries
8
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBANGIYEV, BORIS (OWNER)
NPI Enumeration Date08/19/2022

Related Entities

Other providers sharing the same authorized official: BANGIYEV, BORIS

ProviderCityStateTotal Paid
JAMAICA VISION CENTER CORP JAMAICA NY $550K
CRYSTAL EYEWEAR INC ELMHURST NY $72K
LIBERTY EYECARE CORP SOUTH RICHMOND HILL NY $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,245 $52K
2024 1,425 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 484 483 $38K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 681 479 $14K
V2020 Frames, purchases 697 692 $14K
92250 300 300 $14K
92285 292 292 $8K
92083 70 70 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 133 109 $470.00
92340 Fitting of spectacles, except for aphakia; monofocal 13 13 $177.32