Medicaid Provider Spending

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

EYE 1ST HOLDINGS LLC

NPI: 1699830091 · SANDY SPRINGS, GA 30328 · Optometrist · NPI assigned 12/26/2006

$6K
Total Medicaid Paid
339
Total Claims
336
Beneficiaries
6
Codes Billed
2021-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHIDA, GEORGE (PRESIDENT)
NPI Enumeration Date12/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 35 $789.50
2022 279 $5K
2023 12 $80.00
2024 13 $40.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 94 93 $4K
V2020 Frames, purchases 33 33 $1K
92015 Determination of refractive state 169 167 $990.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17 17 $225.00
V2784 Lens, polycarbonate or equal, any index, per lens 14 14 $190.40
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $180.00