Medicaid Provider Spending

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

EYEMART EXPRESS LLC

NPI: 1730788407 · PELLA, IA 50219 · Eyewear Supplier · NPI assigned 10/22/2020

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

Provider Details

Authorized OfficialLUSKIN, RIMMA (CREDENTIALING MANAGER)
Parent OrganizationEYEMART EXPRESS LLC
NPI Enumeration Date10/22/2020

Related Entities

Other providers sharing the same authorized official: LUSKIN, RIMMA

ProviderCityStateTotal Paid
EYEMART EXPRESS LLC STILLWATER OK $31K
EYEMART EXPRESS LLC WEST DES MOINES IA $21K
EYEMART EXPRESS LLC SELMA TX $13K
EYEMART EXPRESS LLC AMES IA $3K

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 319 309 $7K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 125 122 $2K