WALLERICH EYE CARE LLC DBA SWOOP EYE CARE
NPI: 1194377671
· RICHFIELD, MN 55423
· 152W00000X
$110K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
66 |
$4K |
| 2021 |
66 |
$4K |
| 2022 |
393 |
$19K |
| 2023 |
847 |
$38K |
| 2024 |
1,029 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
963 |
927 |
$91K |
| 92015 |
|
1,265 |
1,218 |
$15K |
| V2020 |
Vision svcs frames purchases |
70 |
70 |
$1K |
| 92340 |
|
47 |
44 |
$1K |
| 92014 |
|
12 |
12 |
$1K |
| V2784 |
Lens polycarb or equal |
44 |
42 |
$599.64 |