Medicaid Provider Spending

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

CFO RETAIL OF LONG ISLAND LLC

NPI: 1780140814 · GARDEN CITY, NY 11530 · 332H00000X

$7K
Total Medicaid Paid
566
Total Claims
377
Beneficiaries
7
Codes Billed
2019-10
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 73 $368.06
2020 85 $138.00
2021 25 $920.00
2022 24 $0.00
2023 359 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 97 97 $4K
V2100 Lens spher single plano 4.00 114 57 $2K
V2020 Vision svcs frames purchases 91 91 $906.50
V2199 Lens single vision not oth c 34 17 $287.56
V2784 Lens polycarb or equal 182 91 $5.00
V2755 Uv lens/es 24 12 $0.00
V2760 Scratch resistant coating 24 12 $0.00