MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC
NPI: 1790133304
· CHAMBERSBURG, PA 17201
· 152W00000X
$856K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
592 |
$15K |
| 2020 |
1,723 |
$46K |
| 2021 |
6,481 |
$158K |
| 2022 |
9,079 |
$222K |
| 2023 |
9,364 |
$233K |
| 2024 |
8,656 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
8,874 |
4,311 |
$263K |
| V2020 |
Vision svcs frames purchases |
5,698 |
5,175 |
$212K |
| 92014 |
|
4,469 |
4,356 |
$178K |
| 92004 |
|
1,709 |
1,669 |
$73K |
| V2750 |
Anti-reflective coating |
3,288 |
1,680 |
$51K |
| V2784 |
Lens polycarb or equal |
7,579 |
3,545 |
$37K |
| V2760 |
Scratch resistant coating |
2,738 |
1,367 |
$22K |
| V2744 |
Tint photochromatic lens/es |
267 |
142 |
$7K |
| V2200 |
Lens spher bifoc plano 4.00d |
105 |
59 |
$4K |
| 92015 |
|
999 |
979 |
$3K |
| V2299 |
Lens bifocal speciality |
61 |
34 |
$3K |
| V2781 |
Progressive lens per lens |
82 |
46 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
14 |
14 |
$711.00 |
| 92340 |
|
12 |
12 |
$120.00 |