TRI-STATE OPTICAL CENTER, PLLC
NPI: 1154638153
· ROGERS, AR 72756
· Optometrist
· NPI assigned 09/12/2010
$468K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LANDIS, KATHERINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,058 |
$52K |
| 2019 |
1,555 |
$71K |
| 2020 |
1,470 |
$61K |
| 2021 |
1,763 |
$80K |
| 2022 |
1,570 |
$67K |
| 2023 |
1,875 |
$86K |
| 2024 |
1,210 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,604 |
3,498 |
$173K |
| 92015 |
Determination of refractive state |
3,694 |
3,585 |
$119K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,077 |
1,984 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
582 |
562 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
458 |
445 |
$25K |
| S0512 |
Daily wear specialty contact lens, per lens |
28 |
26 |
$7K |
| S0592 |
Comprehensive contact lens evaluation |
40 |
38 |
$2K |
| 92370 |
|
18 |
16 |
$517.65 |