Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1740638360 · WAYNESBORO, PA 17268 · Optometrist · NPI assigned 05/25/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$394K
Total Medicaid Paid
16,314
Total Claims
11,100
Beneficiaries
11
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date05/25/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 186 $5K
2020 599 $14K
2021 2,999 $74K
2022 3,751 $93K
2023 5,141 $128K
2024 3,638 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,701 1,875 $112K
V2020 Frames, purchases 2,563 2,389 $98K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,179 2,124 $89K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 818 804 $36K
V2750 Anti-reflective coating, per lens 1,818 977 $28K
V2784 Lens, polycarbonate or equal, any index, per lens 2,969 1,442 $16K
V2760 Scratch resistant coating, per lens 1,529 778 $12K
92015 Determination of refractive state 664 658 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 30 16 $1K
V2781 Progressive lens, per lens 18 12 $520.00
92340 Fitting of spectacles, except for aphakia; monofocal 25 25 $250.00