SOUTH GATE OPTOMETRY INC
NPI: 1154514370
· SOUTH GATE, CA 90280
· 152W00000X
$841K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,784 |
$45K |
| 2019 |
8,102 |
$125K |
| 2020 |
7,190 |
$120K |
| 2021 |
9,690 |
$195K |
| 2022 |
8,539 |
$159K |
| 2023 |
7,064 |
$98K |
| 2024 |
5,194 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
7,931 |
7,905 |
$268K |
| V2020 |
Vision svcs frames purchases |
11,724 |
11,687 |
$185K |
| 92014 |
|
4,963 |
4,946 |
$140K |
| 92340 |
|
9,113 |
9,106 |
$105K |
| 92015 |
|
14,117 |
14,068 |
$63K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
418 |
411 |
$31K |
| 92250 |
|
724 |
722 |
$23K |
| 92341 |
|
1,331 |
1,325 |
$21K |
| 99213 |
|
228 |
206 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
14 |
14 |
$105.37 |