Medicaid Provider Spending

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

WESTERLY EYE CARE, LLC

NPI: 1992253827 · WESTERLY, RI 02891 · Optometrist · NPI assigned 09/20/2016

$10K
Total Medicaid Paid
293
Total Claims
260
Beneficiaries
6
Codes Billed
2019-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialDIMOVA, KRISTINA (OPTOMETRIST)
NPI Enumeration Date09/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 220 $7K
2020 60 $2K
2021 13 $422.95

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 69 55 $3K
92015 Determination of refractive state 106 98 $3K
92250 73 64 $2K
V2112 Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens 14 14 $888.68
V2020 Frames, purchases 17 15 $371.28
92340 Fitting of spectacles, except for aphakia; monofocal 14 14 $286.02