BELLAIRE OPTOMETRY CLINIC INC
NPI: 1104840628
· HOUSTON, TX 77036
· 152W00000X
$274K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$370.20 |
| 2019 |
67 |
$0.00 |
| 2020 |
1,080 |
$27K |
| 2021 |
3,394 |
$80K |
| 2022 |
2,473 |
$64K |
| 2023 |
2,462 |
$65K |
| 2024 |
1,659 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological exa |
1,608 |
1,595 |
$69K |
| V2100 |
Lens spher single plano 4.00 |
2,531 |
2,477 |
$51K |
| V2020 |
Vision svcs frames purchases |
3,166 |
3,063 |
$50K |
| 92014 |
|
631 |
610 |
$46K |
| S0620 |
Routine ophthalmological exa |
776 |
770 |
$33K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
378 |
357 |
$7K |
| 92004 |
|
71 |
67 |
$6K |
| V2784 |
Lens polycarb or equal |
465 |
444 |
$5K |
| 92015 |
|
1,165 |
1,117 |
$5K |
| V2025 |
Eyeglasses delux frames |
59 |
58 |
$2K |
| 92250 |
|
14 |
12 |
$67.08 |
| G8428 |
Cur meds not document |
197 |
191 |
$0.00 |
| G8732 |
No doc of pain |
28 |
27 |
$0.00 |
| G9368 |
>= 2 same hi-rsk med not ord |
58 |
56 |
$0.00 |