Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FOUNTAIN VALLEY
› V. T. LY OD INC
V. T. LY OD INC
NPI: 1750572244 · FOUNTAIN VALLEY, CA 92708 ·
152WC0802X
$119K
Total Medicaid Paid
8,511
Total Claims
8,508
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,623
$23K
2019
2,004
$22K
2020
1,242
$24K
2021
1,113
$21K
2022
898
$17K
2023
880
$12K
2024
751
$45.78
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
2,306
2,304
$32K
92340
2,138
2,137
$30K
92014
1,022
1,022
$26K
92004
771
771
$20K
92015
2,274
2,274
$12K