LENS LAB EXPRESS OF 5917 BERGENLINE
NPI: 1023643079
· WEST NEW YORK, NJ 07093
· 152W00000X
$250K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,215 |
$8K |
| 2021 |
4,695 |
$52K |
| 2022 |
4,973 |
$49K |
| 2023 |
5,031 |
$66K |
| 2024 |
5,345 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,339 |
2,273 |
$86K |
| 92004 |
|
3,410 |
3,369 |
$58K |
| 92082 |
|
1,708 |
1,649 |
$25K |
| 76514 |
|
1,734 |
1,683 |
$25K |
| 92012 |
|
537 |
523 |
$13K |
| 92020 |
|
766 |
755 |
$11K |
| 92133 |
|
393 |
375 |
$9K |
| 92285 |
|
267 |
255 |
$6K |
| 92083 |
|
313 |
307 |
$5K |
| 92340 |
|
138 |
132 |
$2K |
| 92015 |
|
575 |
531 |
$2K |
| 92341 |
|
121 |
121 |
$2K |
| 92002 |
|
288 |
287 |
$1K |
| 76512 |
|
62 |
41 |
$1K |
| 92286 |
|
143 |
125 |
$1K |
| 92134 |
|
286 |
278 |
$274.50 |
| 92202 |
|
76 |
70 |
$222.82 |
| V2020 |
Vision svcs frames purchases |
2,512 |
2,504 |
$200.00 |
| V2100 |
Lens spher single plano 4.00 |
3,910 |
1,960 |
$147.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
832 |
415 |
$52.00 |
| 68040 |
|
266 |
172 |
$1.00 |
| V2112 |
Spherocylindr 7.25d/2.25-4d |
124 |
62 |
$0.00 |
| V2784 |
Lens polycarb or equal |
310 |
154 |
$0.00 |
| S0500 |
Dispos cont lens |
17 |
17 |
$0.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
50 |
25 |
$0.00 |
| V2500 |
Contact lens pmma spherical |
82 |
81 |
$0.00 |