Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › BALA CYNWYD › CITY LINE EYE CARE LLC

CITY LINE EYE CARE LLC

NPI: 1851975312 · BALA CYNWYD, PA 19004 · 152W00000X

$125K
Total Medicaid Paid
4,504
Total Claims
3,043
Beneficiaries
8
Codes Billed
2022-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 279 $11K
2023 1,934 $52K
2024 2,291 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 1,032 1,017 $48K
V2100 Lens spher single plano 4.00 1,308 573 $36K
V2020 Vision svcs frames purchases 819 713 $29K
92014 117 117 $6K
V2784 Lens polycarb or equal 1,028 432 $3K
92250 43 41 $2K
92015 143 136 $1K
92340 14 14 $140.00