JACKSON HEIGHTS OPTICAL INC
NPI: 1881806917
· JACKSON HEIGHTS, NY 11372
· 152W00000X
$225K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,837 |
$31K |
| 2019 |
2,563 |
$33K |
| 2020 |
650 |
$8K |
| 2021 |
2,666 |
$36K |
| 2022 |
2,695 |
$52K |
| 2023 |
2,197 |
$37K |
| 2024 |
1,673 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,737 |
3,720 |
$53K |
| 92002 |
|
1,060 |
1,059 |
$41K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,878 |
1,839 |
$39K |
| 92012 |
|
659 |
659 |
$24K |
| 92340 |
|
1,508 |
1,507 |
$20K |
| 92004 |
|
303 |
299 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
516 |
471 |
$10K |
| 92014 |
|
299 |
297 |
$10K |
| V2784 |
Lens polycarb or equal |
2,582 |
1,369 |
$7K |
| S0580 |
Polycarb lens |
398 |
398 |
$7K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
26 |
13 |
$750.64 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
27 |
25 |
$292.68 |
| V2755 |
Uv lens/es |
288 |
144 |
$0.00 |