FOREST LAKE OPTOMETRIC CENTER
NPI: 1053473835
· FOREST LAKE, MN 55025
· 152W00000X
$186K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
908 |
$4K |
| 2019 |
954 |
$20K |
| 2020 |
896 |
$19K |
| 2021 |
969 |
$21K |
| 2022 |
952 |
$28K |
| 2023 |
1,563 |
$51K |
| 2024 |
1,181 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,102 |
1,068 |
$85K |
| 92015 |
|
2,527 |
2,456 |
$29K |
| 92340 |
|
1,093 |
1,038 |
$22K |
| V2020 |
Vision svcs frames purchases |
858 |
804 |
$21K |
| 92004 |
|
150 |
148 |
$15K |
| V2784 |
Lens polycarb or equal |
1,471 |
763 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
222 |
139 |
$5K |