NPI: 1194377671 · RICHFIELD, MN 55423 · Optometrist · NPI assigned 07/15/2019
| Authorized Official | WALLERICH, MICHAEL (OWNER) |
| NPI Enumeration Date | 07/15/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 66 | $4K |
| 2021 | 66 | $4K |
| 2022 | 393 | $19K |
| 2023 | 847 | $38K |
| 2024 | 1,029 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 963 | 927 | $91K |
| 92015 | Determination of refractive state | 1,265 | 1,218 | $15K |
| V2020 | Frames, purchases | 70 | 70 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 47 | 44 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 44 | 42 | $599.64 |