ERIE STATION OPTICAL, INC.
NPI: 1144509381
· HENRIETTA, NY 14467
· Eyewear Supplier
· NPI assigned 08/05/2011
$332K
Total Medicaid Paid
Provider Details
| Authorized Official | VELOCCI, LOUIS (OPTOMETRIST) |
| NPI Enumeration Date | 08/05/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
691 |
$76K |
| 2019 |
779 |
$88K |
| 2020 |
386 |
$44K |
| 2021 |
621 |
$70K |
| 2022 |
430 |
$49K |
| 2023 |
43 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,983 |
1,983 |
$235K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
967 |
967 |
$96K |