Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DE › MIDDLETOWN › MYEYEDR OPTOMETRY OF DELAWARE PA

MYEYEDR OPTOMETRY OF DELAWARE PA

NPI: 1841669595 · MIDDLETOWN, DE 19709 · Optometrist · NPI assigned 09/23/2015

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

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

$964K
Total Medicaid Paid
17,911
Total Claims
16,007
Beneficiaries
15
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date09/23/2015

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
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
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $547.14
2020 324 $10K
2021 324 $15K
2022 599 $24K
2023 8,109 $436K
2024 8,542 $478K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,129 1,888 $244K
V2020 Frames, purchases 3,988 3,600 $233K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,223 2,840 $185K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,281 1,148 $121K
V2784 Lens, polycarbonate or equal, any index, per lens 1,946 1,720 $81K
92015 Determination of refractive state 3,224 2,905 $51K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 515 463 $18K
S0621 Routine ophthalmological examination including refraction; established patient 434 400 $17K
S0620 Routine ophthalmological examination including refraction; new patient 221 195 $8K
92310 133 127 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 110 51 $2K
V2750 Anti-reflective coating, per lens 228 193 $860.60
G8785 Blood pressure reading not documented, reason not given 212 211 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 107 107 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 160 159 $0.00