Medicaid Provider Spending

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

EYELINE OPTICAL OF VICKSBURG INC

NPI: 1831307727 · VICKSBURG, MS 39180 · Eyewear Supplier · NPI assigned 05/21/2007

$47K
Total Medicaid Paid
2,166
Total Claims
1,988
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMONSOUR, RONNIE (PRESIDENT)
NPI Enumeration Date05/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 358 $8K
2019 295 $6K
2020 551 $12K
2021 230 $5K
2022 213 $5K
2023 389 $8K
2024 130 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 963 878 $30K
92340 Fitting of spectacles, except for aphakia; monofocal 704 640 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 111 106 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 374 350 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14 14 $481.45