GOODMAN EYECARE CENTER, LLC
NPI: 1013072263
· FORESTVILLE, MD 20747
· 152W00000X
$688K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$247.26 |
| 2019 |
15 |
$247.26 |
| 2020 |
373 |
$12K |
| 2021 |
2,627 |
$60K |
| 2022 |
6,634 |
$115K |
| 2023 |
13,486 |
$276K |
| 2024 |
10,440 |
$225K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
6,147 |
4,795 |
$194K |
| V2020 |
Vision svcs frames purchases |
7,787 |
7,548 |
$162K |
| V2100 |
Lens spher single plano 4.00 |
5,476 |
5,302 |
$111K |
| 92004 |
|
2,302 |
1,833 |
$82K |
| S0621 |
Routine ophthalmological exa |
1,065 |
1,058 |
$49K |
| 92015 |
|
4,685 |
4,220 |
$39K |
| V2784 |
Lens polycarb or equal |
3,591 |
3,452 |
$15K |
| 92340 |
|
817 |
777 |
$12K |
| V2299 |
Lens bifocal speciality |
291 |
282 |
$9K |
| V2781 |
Progressive lens per lens |
305 |
291 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
189 |
186 |
$6K |
| V2200 |
Lens spher bifoc plano 4.00d |
28 |
28 |
$2K |
| S0620 |
Routine ophthalmological exa |
13 |
13 |
$585.00 |
| 99213 |
|
17 |
13 |
$541.19 |
| G8428 |
Cur meds not document |
12 |
12 |
$8.09 |
| V2750 |
Anti-reflective coating |
851 |
817 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
12 |
12 |
$0.00 |