GRAND ISLAND OPTICAL PC
NPI: 1891771051
· GRAND ISLAND, NE 68803
· 152W00000X
$677K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,500 |
$78K |
| 2019 |
3,286 |
$98K |
| 2020 |
2,961 |
$90K |
| 2021 |
3,992 |
$126K |
| 2022 |
4,335 |
$132K |
| 2023 |
2,299 |
$72K |
| 2024 |
2,564 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
3,650 |
3,591 |
$220K |
| 92014 |
|
3,269 |
3,209 |
$187K |
| 92015 |
|
5,662 |
5,485 |
$94K |
| V2020 |
Vision svcs frames purchases |
2,585 |
2,532 |
$76K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,742 |
1,711 |
$59K |
| V2784 |
Lens polycarb or equal |
950 |
927 |
$20K |
| 92004 |
|
151 |
147 |
$11K |
| 92012 |
|
173 |
165 |
$6K |
| V2756 |
Eye glass case |
3,755 |
3,682 |
$4K |