Medicaid Provider Spending

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

COSTELLO SR - ALLEN OPTOMETRISTS PLLC

NPI: 1770720468 · ONEIDA, NY 13421 · Optometrist · NPI assigned 01/16/2009

$415K
Total Medicaid Paid
17,457
Total Claims
14,288
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALLEN, MATTHEW (OWNER)
NPI Enumeration Date01/16/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,849 $53K
2019 3,012 $68K
2020 3,096 $65K
2021 4,772 $102K
2022 3,600 $71K
2023 630 $36K
2024 498 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,377 5,337 $287K
V2020 Frames, purchases 2,664 2,617 $40K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 524 521 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,081 539 $21K
92015 Determination of refractive state 2,303 2,139 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 452 238 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 392 391 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 64 64 $4K
92250 53 53 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 4,258 2,103 $1K
92341 53 53 $1K
S0621 Routine ophthalmological examination including refraction; established patient 18 18 $720.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 155 152 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 63 63 $0.00