Medicaid Provider Spending

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

EYEMART EXPRESS LLC

NPI: 1902368905 · AMES, IA 50010 · Eyewear Supplier · NPI assigned 04/01/2019

$3K
Total Medicaid Paid
157
Total Claims
143
Beneficiaries
2
Codes Billed
2021-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLUSKIN, RIMMA (CREDENTIALING MANAGER)
Parent OrganizationEYEMART EXPRESS LLC
NPI Enumeration Date04/01/2019

Related Entities

Other providers sharing the same authorized official: LUSKIN, RIMMA

ProviderCityStateTotal Paid
EYEMART EXPRESS LLC STILLWATER OK $31K
EYEMART EXPRESS LLC WEST DES MOINES IA $21K
EYEMART EXPRESS LLC SELMA TX $13K
EYEMART EXPRESS LLC PELLA IA $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $667.33
2022 28 $851.79
2023 48 $527.58
2024 55 $992.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 142 131 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15 12 $177.47