Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LAKEWOOD › PACIFIC VISION CARE, OPTOMETRIC SERVICES, INC.

PACIFIC VISION CARE, OPTOMETRIC SERVICES, INC.

NPI: 1780080994 · LAKEWOOD, CA 90713 · Optometrist · NPI assigned 11/15/2014

$43.26
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2021-07
First Month
2021-07
Last Month

Provider Details

Authorized OfficialWOO, DERRICK (PRESIDENT/OPTOMETRIST)
NPI Enumeration Date11/15/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $43.26

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 13 13 $43.26