SUMMIT OPTOMETRIC EYECARE
NPI: 1053757039
· SIMI VALLEY, CA 93065
· Optometrist
· NPI assigned 05/16/2013
$192K
Total Medicaid Paid
Provider Details
| Authorized Official | RYU, JOHN (CEO/OPTOMETRIST) |
| NPI Enumeration Date | 05/16/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
596 |
$11K |
| 2019 |
541 |
$18K |
| 2020 |
750 |
$29K |
| 2021 |
858 |
$32K |
| 2022 |
739 |
$28K |
| 2023 |
1,139 |
$43K |
| 2024 |
1,169 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,478 |
1,478 |
$89K |
| V2020 |
Frames, purchases |
1,138 |
1,133 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,013 |
1,007 |
$35K |
| 92015 |
Determination of refractive state |
2,067 |
2,066 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
96 |
96 |
$5K |