Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › HICKSVILLE › BROADWAY MALL VISION EXPRESS, LLC

BROADWAY MALL VISION EXPRESS, LLC

NPI: 1982148763 · HICKSVILLE, NY 11801 · Eyewear Supplier · NPI assigned 12/13/2016

$33K
Total Medicaid Paid
1,507
Total Claims
1,505
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVAYNER, LEONID (PRESIDENT)
NPI Enumeration Date12/13/2016

Related Entities

Other providers sharing the same authorized official: VAYNER, LEONID

ProviderCityStateTotal Paid
MANHATTAN OPTOMETRY AND OPHTHALMIC DISPENSING PLLC NEW YORK NY $1.42M
ROOSEVELT FIELD VISION EXPRESS, LLC GARDEN CITY NY $216K
VISION EXPRESS LLC BROOKLYN NY $28K
MEGA VISION CENTER, INC BROOKLYN NY $22K
42ND STREET VISION EXPRESS, LLC NEW YORK NY $9K
STATEN ISLAND EYECARE, LLC STATEN ISLAND NY $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 61 $1K
2022 13 $240.00
2023 13 $160.00
2024 1,420 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 702 701 $17K
V2020 Frames, purchases 805 804 $16K