Medicaid Provider Spending

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

ACUITY VISION CARE PC

NPI: 1871634675 · ASHBURN, VA 20147 · Optometrist · NPI assigned 02/12/2007

$6K
Total Medicaid Paid
205
Total Claims
179
Beneficiaries
4
Codes Billed
2021-04
First Month
2024-04
Last Month

Provider Details

Authorized OfficialMOJALLAL, PEYAM (PRESIDENT OWNER)
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: MOJALLAL, PEYAM

ProviderCityStateTotal Paid
PEYAM MOJALLAL OD AND ASSOCIATES ASHBURN VA $193.61

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 80 $3K
2023 111 $2K
2024 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 44 39 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 24 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15 14 $627.38
92015 Determination of refractive state 108 102 $350.95