Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › PELLA › EYEMART EXPRESS LLC

EYEMART EXPRESS LLC

NPI: 1730788407 · PELLA, IA 50219 · 332H00000X

$9K
Total Medicaid Paid
444
Total Claims
431
Beneficiaries
2
Codes Billed
2022-10
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $710.55
2023 173 $3K
2024 246 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Vision svcs frames purchases 319 309 $7K
V2103 Spherocylindr 4.00d/12-2.00d 125 122 $2K