KIMBERLY PETERSON, O.D., INC.
NPI: 1003120452
· RIALTO, CA 92376
· Optometrist
· NPI assigned 07/27/2010
$2.26M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,998 |
$144K |
| 2019 |
12,902 |
$258K |
| 2020 |
14,048 |
$288K |
| 2021 |
17,272 |
$356K |
| 2022 |
17,707 |
$366K |
| 2023 |
20,897 |
$446K |
| 2024 |
17,903 |
$408K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19,153 |
19,104 |
$669K |
| V2020 |
Frames, purchases |
26,433 |
26,343 |
$508K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
21,272 |
21,204 |
$419K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,549 |
9,535 |
$362K |
| 92015 |
Determination of refractive state |
29,131 |
29,062 |
$217K |
| 92341 |
|
2,971 |
2,961 |
$86K |
| 92202 |
|
205 |
205 |
$3K |
| 92225 |
|
13 |
13 |
$707.85 |