Medicaid Provider Spending

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

GLENDORA OPTOMETRY APC

NPI: 1811666506 · GLENDORA, CA 91740 · Health Service Clinic/Center · NPI assigned 09/07/2021

$6K
Total Medicaid Paid
350
Total Claims
350
Beneficiaries
4
Codes Billed
2022-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWONG, CECILIA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/07/2021

Related Entities

Other providers sharing the same authorized official: WONG, CECILIA

ProviderCityStateTotal Paid
EL MONTE OPTOMETRY INC EL MONTE CA $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 88 $1K
2023 71 $1K
2024 191 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 107 107 $4K
92015 Determination of refractive state 148 148 $917.77
92340 Fitting of spectacles, except for aphakia; monofocal 53 53 $738.66
V2020 Frames, purchases 42 42 $702.02