Medicaid Provider Spending

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

OPTOMETRX

NPI: 1962869545 · HACIENDA HEIGHTS, CA 91745 · Optometrist · NPI assigned 01/27/2016

$45K
Total Medicaid Paid
3,601
Total Claims
3,601
Beneficiaries
5
Codes Billed
2018-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLO, ALVIN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/27/2016

Related Entities

Other providers sharing the same authorized official: LO, ALVIN

ProviderCityStateTotal Paid
OPTIKA OPTOMETRICS GLENDORA CA $16.02

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $306.18
2019 85 $382.42
2020 310 $3K
2021 562 $6K
2022 520 $5K
2023 953 $10K
2024 1,145 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 645 645 $16K
V2020 Frames, purchases 861 861 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 678 678 $8K
92015 Determination of refractive state 1,272 1,272 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 145 145 $3K