Medicaid Provider Spending

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

BUSTELOS OPTICAL, INC

NPI: 1962973685 · CORAL GABLES, FL 33134 · Optician · NPI assigned 12/06/2018

$41K
Total Medicaid Paid
1,260
Total Claims
1,233
Beneficiaries
6
Codes Billed
2021-12
First Month
2024-06
Last Month

Provider Details

Authorized OfficialGARCIA, NASHIELI (PRESIDENT)
NPI Enumeration Date12/06/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $949.00
2022 436 $16K
2023 726 $24K
2024 81 $240.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Deluxe frame 220 214 $25K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 453 446 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 296 284 $365.00
V2020 Frames, purchases 217 216 $240.00
92340 Fitting of spectacles, except for aphakia; monofocal 45 45 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 29 28 $0.00