Medicaid Provider Spending

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

MAIN ST. OPTICAL LLC

NPI: 1790236735 · PATERSON, NJ 07503 · 152W00000X

$99K
Total Medicaid Paid
49,924
Total Claims
38,187
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,248 $6K
2019 2,977 $11K
2020 3,706 $9K
2021 6,523 $11K
2022 10,137 $18K
2023 12,581 $26K
2024 11,752 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 5,271 5,214 $27K
92004 4,875 4,847 $27K
V2020 Vision svcs frames purchases 8,182 7,985 $15K
V2100 Lens spher single plano 4.00 12,487 6,634 $11K
V2784 Lens polycarb or equal 8,425 4,499 $6K
92015 7,111 7,036 $4K
99203 45 45 $3K
99213 110 108 $3K
V2200 Lens spher bifoc plano 4.00d 454 295 $2K
V2750 Anti-reflective coating 2,180 1,081 $0.00
S0621 Routine ophthalmological exa 25 25 $0.00
V2103 Spherocylindr 4.00d/12-2.00d 636 323 $0.00
S0620 Routine ophthalmological exa 67 67 $0.00
V2781 Progressive lens per lens 28 14 $0.00
V2299 Lens bifocal speciality 28 14 $0.00