FIRST BRISTOL OPTOMETRY
NPI: 1114160892
· SANTA ANA, CA 92703
· Exclusive Provider Organization
· NPI assigned 04/11/2009
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, MIMI (OPTOMETRIST) |
| NPI Enumeration Date | 04/11/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,644 |
$25K |
| 2019 |
1,770 |
$20K |
| 2020 |
1,426 |
$28K |
| 2021 |
1,488 |
$30K |
| 2022 |
1,456 |
$29K |
| 2023 |
2,392 |
$30K |
| 2024 |
3,919 |
$325.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,332 |
2,331 |
$51K |
| V2020 |
Frames, purchases |
3,263 |
3,203 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,974 |
2,913 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,443 |
1,443 |
$25K |
| 92015 |
Determination of refractive state |
4,003 |
4,002 |
$17K |
| 92341 |
|
80 |
80 |
$0.00 |