MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1780143198
· PORTAGE, IN 46368
· 152W00000X
$339K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
91 |
$1K |
| 2020 |
276 |
$4K |
| 2021 |
1,476 |
$61K |
| 2022 |
2,445 |
$96K |
| 2023 |
2,283 |
$99K |
| 2024 |
1,492 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,233 |
1,110 |
$126K |
| 92014 |
|
1,026 |
935 |
$87K |
| V2020 |
Vision svcs frames purchases |
2,138 |
2,044 |
$56K |
| V2100 |
Lens spher single plano 4.00 |
1,135 |
1,099 |
$38K |
| 92015 |
|
2,390 |
2,271 |
$31K |
| V2784 |
Lens polycarb or equal |
109 |
108 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
32 |
26 |
$696.08 |