Medicaid Provider Spending

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

ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION

NPI: 1952456824 · LOMPOC, CA 93436 · Eyewear Supplier · NPI assigned 01/23/2007

$3K
Total Medicaid Paid
157
Total Claims
103
Beneficiaries
2
Codes Billed
2020-02
First Month
2020-06
Last Month

Provider Details

Authorized OfficialKENDALL, KENNETH (CEO)
NPI Enumeration Date01/23/2007

Related Entities

Other providers sharing the same authorized official: KENDALL, KENNETH

ProviderCityStateTotal Paid
ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION SOLVANG CA $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 157 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2784 Lens, polycarbonate or equal, any index, per lens 108 54 $2K
V2020 Frames, purchases 49 49 $1K