Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › ROCHESTER › LEGACY VISION CENTER LLC

LEGACY VISION CENTER LLC

NPI: 1891422382 · ROCHESTER, NY 14626 · Optometrist · NPI assigned 08/04/2022

$218K
Total Medicaid Paid
2,777
Total Claims
2,776
Beneficiaries
9
Codes Billed
2022-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOORE, JASON (OPTOMETRIST / OWNER)
NPI Enumeration Date08/04/2022

Related Entities

Other providers sharing the same authorized official: MOORE, JASON

ProviderCityStateTotal Paid
THE OUTREACH FOUNDATION, LLC PETERSBURG VA $1.53M
OAK MEDICAL,LTD JACKSON OH $1.28M
JASON A. MOORE, D.C. PLLC HUNTINGTON WV $78K
UNIVERSITY HEALTH SERVICES, INC. NORTH AUGUSTA SC $29K
JASON T. MOORE, D.D.S. AND ADAM T. DORSETT, D.D.S., PA LEWISVILLE NC $15K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 476 $32K
2023 1,098 $89K
2024 1,203 $97K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,218 1,218 $145K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 373 373 $37K
92250 536 536 $16K
92083 244 243 $12K
92082 108 108 $4K
99051 208 208 $2K
92081 24 24 $645.41
92285 24 24 $399.58
76514 42 42 $362.46