Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › PLATTSBURGH › SPECTACLE SHOPPE LLC

SPECTACLE SHOPPE LLC

NPI: 1851569776 · PLATTSBURGH, NY 12901 · 156FX1800X

$4K
Total Medicaid Paid
388
Total Claims
262
Beneficiaries
4
Codes Billed
2020-11
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 42 $161.00
2021 49 $658.00
2022 165 $2K
2023 132 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 42 42 $2K
V2020 Vision svcs frames purchases 98 97 $1K
V2100 Lens spher single plano 4.00 54 27 $1K
V2784 Lens polycarb or equal 194 96 $0.00