JOHN L BONNER EYE CLINIC LTD
NPI: 1053351817
· GRAND RAPIDS, MN 55744
· 152W00000X
$566K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,710 |
$27K |
| 2019 |
3,316 |
$112K |
| 2020 |
3,065 |
$107K |
| 2021 |
2,447 |
$88K |
| 2022 |
1,741 |
$61K |
| 2023 |
2,957 |
$106K |
| 2024 |
1,823 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,351 |
3,293 |
$214K |
| 92004 |
|
1,627 |
1,589 |
$124K |
| 92015 |
|
6,465 |
6,348 |
$68K |
| V2020 |
Vision svcs frames purchases |
2,432 |
2,340 |
$58K |
| 92340 |
|
2,089 |
2,022 |
$39K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,051 |
897 |
$28K |
| 99213 |
|
355 |
288 |
$11K |
| 92341 |
|
462 |
452 |
$10K |
| V2784 |
Lens polycarb or equal |
1,065 |
1,013 |
$9K |
| 92012 |
|
67 |
56 |
$3K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
83 |
78 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
12 |
12 |
$720.48 |