Medicaid Provider Spending

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

CONCIERGE PREMIUM EYECARE LLC

NPI: 1962916940 · ASTORIA, NY 11102 · Optometrist · NPI assigned 11/29/2017

$48K
Total Medicaid Paid
896
Total Claims
860
Beneficiaries
6
Codes Billed
2020-02
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSHETTY, RAJAT (DOCTOR)
NPI Enumeration Date11/29/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 111 $7K
2021 444 $23K
2022 198 $11K
2023 143 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 320 315 $23K
92250 474 469 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 26 13 $533.80
V2020 Frames, purchases 12 12 $142.38
V2784 Lens, polycarbonate or equal, any index, per lens 26 13 $0.00