Medicaid Provider Spending

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

MANOR VISION PLLC

NPI: 1871006965 · MANOR, TX 78653 · Optometrist · NPI assigned 11/10/2017

$4K
Total Medicaid Paid
132
Total Claims
130
Beneficiaries
3
Codes Billed
2021-03
First Month
2022-09
Last Month

Provider Details

Authorized OfficialLIU, JILL (PRESIDENT)
NPI Enumeration Date11/10/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 88 $3K
2022 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 60 59 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 51 50 $1K
V2020 Frames, purchases 21 21 $336.63