VITA PARK EYE ASSOCIATES, SC
NPI: 1154418051
· BEAVER DAM, WI 53916
· Optometrist
· NPI assigned 10/10/2006
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | CASTILLO, THOMAS (CORPORATE OFFICER) |
| NPI Enumeration Date | 10/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,841 |
$22K |
| 2019 |
1,707 |
$19K |
| 2020 |
1,775 |
$25K |
| 2021 |
1,858 |
$27K |
| 2022 |
560 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,100 |
1,466 |
$52K |
| 92015 |
Determination of refractive state |
4,037 |
2,554 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,372 |
1,073 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
154 |
114 |
$5K |
| 92341 |
|
55 |
27 |
$586.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
12 |
$47.65 |