Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

NPI: 1790133304 · CHAMBERSBURG, PA 17201 · Optometrist · NPI assigned 05/25/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$856K
Total Medicaid Paid
35,895
Total Claims
23,389
Beneficiaries
14
Codes Billed
2019-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date05/25/2016

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8,874 4,311 $263K
V2020 Frames, purchases 5,698 5,175 $212K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,469 4,356 $178K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,709 1,669 $73K
V2750 Anti-reflective coating, per lens 3,288 1,680 $51K
V2784 Lens, polycarbonate or equal, any index, per lens 7,579 3,545 $37K
V2760 Scratch resistant coating, per lens 2,738 1,367 $22K
V2744 Tint, photochromatic, per lens 267 142 $7K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 105 59 $4K
92015 Determination of refractive state 999 979 $3K
V2299 Specialty bifocal (by report) 61 34 $3K
V2781 Progressive lens, per lens 82 46 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14 14 $711.00
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $120.00