SUBURBAN EYE SPECIALISTS
NPI: 1043794506
· CHICAGO RIDGE, IL 60415
· Optometric Technician
· NPI assigned 09/20/2018
$173K
Total Medicaid Paid
Provider Details
| Authorized Official | TICHO, BENJAMIN (AUTHORIZED OFFICIAL/OWNER) |
| NPI Enumeration Date | 09/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
633 |
$18K |
| 2020 |
495 |
$19K |
| 2021 |
760 |
$34K |
| 2022 |
853 |
$37K |
| 2023 |
763 |
$37K |
| 2024 |
707 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,499 |
1,156 |
$99K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
845 |
676 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
236 |
193 |
$19K |
| 92015 |
Determination of refractive state |
1,534 |
1,232 |
$16K |
| 92060 |
|
46 |
39 |
$2K |
| 92285 |
|
51 |
39 |
$591.87 |