Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › PITTSFORD › WESTERN NEW YORK MEDICAL PRACTICE P.C

WESTERN NEW YORK MEDICAL PRACTICE P.C

NPI: 1871157503 · PITTSFORD, NY 14534 · Eyewear Supplier · NPI assigned 04/29/2019

$1.05M
Total Medicaid Paid
24,357
Total Claims
22,748
Beneficiaries
9
Codes Billed
2019-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHOLDER, NICHOLE (DIRECTOR - PAYER ENROLLMENT)
Parent OrganizationWESTERN NEW YORK MEDICAL PRACTICE P.C
NPI Enumeration Date04/29/2019

Related Entities

Other providers sharing the same authorized official: HOLDER, NICHOLE

ProviderCityStateTotal Paid
WESTERN NEW YORK MEDICAL PRACTICE, P.C. PENFIELD NY $81K
WESTERN NEW YORK MEDICAL PRACTICE, P.C. ROCHESTER NY $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,494 $75K
2020 3,559 $170K
2021 5,062 $234K
2022 5,010 $217K
2023 5,268 $209K
2024 3,964 $141K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 9,475 9,441 $404K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5,745 4,854 $257K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,759 1,493 $120K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,350 2,078 $112K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 3,549 3,540 $78K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 506 455 $31K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 357 332 $16K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 287 249 $15K
V2784 Lens, polycarbonate or equal, any index, per lens 329 306 $12K