LONGMONT EYECARE, PLLC
NPI: 1104344894
· LONGMONT, CO 80504
· Optometrist
· NPI assigned 09/01/2017
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, GRACE (OPTOMETRIST/CEO) |
| NPI Enumeration Date | 09/01/2017 |
Related Entities
Other providers sharing the same authorized official: KIM, GRACE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
204 |
$18K |
| 2020 |
142 |
$13K |
| 2021 |
317 |
$30K |
| 2022 |
289 |
$29K |
| 2023 |
366 |
$36K |
| 2024 |
151 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,079 |
1,033 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
374 |
356 |
$37K |
| 92310 |
|
16 |
16 |
$160.00 |