EYE CENTERS OF NORTHWEST OHIO LLC
NPI: 1124284518
· FREMONT, OH 43420
· 152W00000X
$112K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,155 |
$75K |
| 2024 |
1,640 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,506 |
1,421 |
$30K |
| V2100 |
Lens spher single plano 4.00 |
1,209 |
1,147 |
$29K |
| 92004 |
|
325 |
310 |
$16K |
| 99214 |
|
255 |
234 |
$14K |
| 92014 |
|
264 |
259 |
$13K |
| V2784 |
Lens polycarb or equal |
746 |
708 |
$4K |
| 99204 |
|
48 |
48 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
27 |
27 |
$783.00 |
| 92015 |
|
415 |
385 |
$602.55 |