Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › GARDEN CITY › ROOSEVELT FIELD VISION EXPRESS, LLC

ROOSEVELT FIELD VISION EXPRESS, LLC

NPI: 1760908057 · GARDEN CITY, NY 11530 · Eyewear Supplier · NPI assigned 08/17/2017

$216K
Total Medicaid Paid
5,582
Total Claims
4,993
Beneficiaries
11
Codes Billed
2019-10
First Month
2023-09
Last Month

Provider Details

Authorized OfficialVAYNER, LEONID (PRESIDENT)
NPI Enumeration Date08/17/2017

Related Entities

Other providers sharing the same authorized official: VAYNER, LEONID

ProviderCityStateTotal Paid
MANHATTAN OPTOMETRY AND OPHTHALMIC DISPENSING PLLC NEW YORK NY $1.42M
BROADWAY MALL VISION EXPRESS, LLC HICKSVILLE NY $33K
VISION EXPRESS LLC BROOKLYN NY $28K
MEGA VISION CENTER, INC BROOKLYN NY $22K
42ND STREET VISION EXPRESS, LLC NEW YORK NY $9K
STATEN ISLAND EYECARE, LLC STATEN ISLAND NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 157 $7K
2020 1,610 $64K
2021 1,985 $77K
2022 1,113 $41K
2023 717 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 673 672 $52K
92250 937 934 $43K
92083 760 752 $37K
92285 976 972 $28K
76512 269 148 $17K
92060 377 376 $14K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 899 449 $13K
V2020 Frames, purchases 574 573 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 78 78 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 27 27 $405.00
92015 Determination of refractive state 12 12 $292.60