Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › COLDWATER › TRI STATE OPTICAL, INC.

TRI STATE OPTICAL, INC.

NPI: 1942357652 · COLDWATER, MI 49036 · Eyewear Supplier · NPI assigned 01/04/2007

$1.16M
Total Medicaid Paid
80,753
Total Claims
58,494
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCASEY, DANIEL (GENERAL MANAGER)
NPI Enumeration Date01/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,223 $247K
2019 15,333 $202K
2020 11,621 $162K
2021 14,331 $207K
2022 11,299 $178K
2023 5,333 $89K
2024 4,613 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 20,675 20,506 $642K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 29,122 17,498 $250K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10,510 6,174 $92K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9,171 6,403 $64K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 4,022 2,843 $41K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 3,031 2,031 $30K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1,913 1,464 $16K
V2303 Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens 1,060 610 $15K
S0620 Routine ophthalmological examination including refraction; new patient 66 66 $3K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens 282 218 $3K
V2108 Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens 272 199 $3K
V2204 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 262 189 $3K
V2207 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens 87 56 $844.25
V2111 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens 66 38 $762.69
92340 Fitting of spectacles, except for aphakia; monofocal 30 30 $606.30
V2715 Prism, per lens 124 124 $350.70
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 43 32 $344.11
V2300 Sphere, trifocal, plano to plus or minus 4.00d, per lens 17 13 $181.39