S.A.V.O.C L.L.C
NPI: 1174982953
· ROCHESTER, NY 14626
· Preferred Provider Organization
· NPI assigned 02/22/2016
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | FASSLER, ANDREW (LICENSED OPTICIAN) |
| NPI Enumeration Date | 02/22/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
403 |
$29K |
| 2021 |
645 |
$46K |
| 2022 |
498 |
$32K |
| 2023 |
739 |
$49K |
| 2024 |
475 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
879 |
879 |
$87K |
| V2020 |
Frames, purchases |
1,237 |
1,234 |
$54K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
644 |
644 |
$46K |