Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MANDEVILLE
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LA OPTICAL, LLC
NPI: 1790869253 · MANDEVILLE, LA 70471 ·
332H00000X
$12K
Total Medicaid Paid
930
Total Claims
867
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
133
$2K
2019
337
$5K
2020
207
$2K
2021
63
$894.30
2022
86
$1K
2023
24
$327.84
2024
80
$889.22
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2020
Vision svcs frames purchases
460
430
$6K
99211
240
215
$3K
V2103
Spherocylindr 4.00d/12-2.00d
132
127
$2K
V2100
Lens spher single plano 4.00
43
42
$636.90
92340
55
53
$444.96