Medicaid Provider Spending

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

OPTIC GALLERY PAHRUMP LLC

NPI: 1982453460 · PAHRUMP, NV 89048 · Optometrist · NPI assigned 05/16/2024

$8K
Total Medicaid Paid
118
Total Claims
118
Beneficiaries
6
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNG, JUSTIN (OWNER)
NPI Enumeration Date05/16/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 118 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23 23 $3K
V2020 Frames, purchases 21 21 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 20 20 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 15 15 $600.00
92340 Fitting of spectacles, except for aphakia; monofocal 16 16 $534.72
92015 Determination of refractive state 23 23 $431.94