GEORGE W. PEGRAM III, O.D.
NPI: 1083009039
· CHESAPEAKE, VA 23324
· Optometrist
· NPI assigned 04/06/2015
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | PEGRAM, GEORGE (PRESIDENT) |
| NPI Enumeration Date | 04/06/2015 |
Related Entities
Other providers sharing the same authorized official: PEGRAM, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$3K |
| 2019 |
566 |
$28K |
| 2020 |
26 |
$1K |
| 2021 |
96 |
$4K |
| 2022 |
57 |
$4K |
| 2023 |
1,531 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
699 |
699 |
$49K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
655 |
655 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
469 |
469 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
405 |
405 |
$21K |
| V2025 |
Deluxe frame |
78 |
78 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$546.75 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |