NPI: 1023477106 · ADA, OK 74820 · Optometrist · NPI assigned 02/17/2016
| Authorized Official | ELLIOTT, JEFFERY (OWNER) |
| NPI Enumeration Date | 02/17/2016 |
Other providers sharing the same authorized official: ELLIOTT, JEFFERY
| Provider | City | State | Total Paid |
|---|---|---|---|
| VAN BUREN-CASS COUNTY DISTRICT HEALTH DEPARTMENT | HARTFORD | MI | $2.70M |
| VAN BUREN/CASS DISTRICT HEALTH DEPARTMENT | DOWAGIAC | MI | $2.28M |
| VAN BUREN/CASS DISTRICT PUBLIC HEALTH DEPARTMENT | MATTAWAN | MI | $600K |
| VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPARTMENT | DOWAGIAC | MI | $8K |
| VAN BUREN/CASS DISTRICT PUBLIC HEALTH DEPARTMENT | DOWAGIAC | MI | $381.14 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 619 | $14K |
| 2022 | 707 | $15K |
| 2023 | 892 | $18K |
| 2024 | 84 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 125 | 125 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 385 | 378 | $12K |
| 92015 | Determination of refractive state | 509 | 509 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 290 | 284 | $7K |
| V2020 | Frames, purchases | 452 | 445 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28 | 28 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 513 | 501 | $0.00 |