SPOKANE OPTICAL COMPANY LLC
NPI: 1922006758
· SPOKANE, WA 99204
· 332H00000X
$875K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,279 |
$78K |
| 2019 |
5,824 |
$165K |
| 2020 |
4,962 |
$145K |
| 2021 |
8,544 |
$265K |
| 2022 |
5,224 |
$142K |
| 2023 |
6,074 |
$65K |
| 2024 |
2,455 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
5,660 |
5,653 |
$318K |
| 92014 |
|
3,704 |
3,691 |
$184K |
| 92340 |
|
9,681 |
9,591 |
$175K |
| 92015 |
|
13,106 |
13,088 |
$104K |
| 92370 |
|
2,492 |
2,398 |
$44K |
| 92060 |
|
554 |
551 |
$20K |
| V2020 |
Vision svcs frames purchases |
736 |
700 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
235 |
222 |
$6K |
| 99213 |
|
77 |
65 |
$5K |
| 99204 |
|
16 |
16 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
43 |
41 |
$2K |
| 92012 |
|
13 |
13 |
$689.00 |
| 92341 |
|
12 |
12 |
$291.24 |
| V2750 |
Anti-reflective coating |
33 |
29 |
$0.00 |