1902956451

1902956451 was paid $215K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 48% of everything it billed.

33Billing provider info1902956451

33aNPI1902956451

33bProvider type—

28Total paid$215K

24GClaims6,491

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,378	$38K
2019	1,532	$51K
2020	1,136	$37K
2021	1,413	$48K
2022	777	$29K
2023	110	$4K
2024incomplete	145	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	48%	3,225	2,832	$103K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	31%	1,375	1,233	$67K
V2755	U-v lens, per lens	13%	1,310	1,223	$27K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8.2%	567	516	$18K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	14	13	$937.86

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.