RAINES OPTICAL COMPANY, LLC
NPI: 1871627679
· FAR ROCKAWAY, NY 11691
· 332H00000X
$506K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
808 |
$24K |
| 2019 |
3,331 |
$36K |
| 2020 |
5,792 |
$42K |
| 2021 |
6,381 |
$81K |
| 2022 |
7,964 |
$126K |
| 2023 |
7,949 |
$143K |
| 2024 |
2,279 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
8,975 |
4,368 |
$152K |
| 92004 |
|
3,133 |
3,103 |
$137K |
| V2020 |
Vision svcs frames purchases |
8,302 |
8,074 |
$85K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,776 |
877 |
$41K |
| 92014 |
|
1,335 |
1,331 |
$36K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
56 |
55 |
$16K |
| 92340 |
|
937 |
917 |
$14K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,264 |
720 |
$10K |
| V2219 |
Lens bifocal seg width over |
65 |
61 |
$6K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
210 |
136 |
$3K |
| 99204 |
|
47 |
47 |
$3K |
| 92341 |
|
134 |
127 |
$3K |
| 92250 |
|
12 |
12 |
$489.50 |
| V2784 |
Lens polycarb or equal |
7,146 |
3,480 |
$220.00 |
| V2755 |
Uv lens/es |
254 |
127 |
$0.00 |
| 3072F |
|
12 |
12 |
$0.00 |
| 92015 |
|
846 |
845 |
$0.00 |