NPI: 1194381509 · GREEN BAY, WI 54313 · Optometrist · NPI assigned 05/13/2019
| Authorized Official | STEINHORST, RUSS (EVP & CFO) |
| NPI Enumeration Date | 05/13/2019 |
Other providers sharing the same authorized official: STEINHORST, RUSS
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHOPTIKAL LLC | BILLINGS | MT | $790K |
| SHOPTIKAL LLC | MARSHFIELD | WI | $323K |
| SHOPTIKAL LLC | MARINETTE | WI | $172K |
| SHOPTIKAL LLC | WAUSAU | WI | $94K |
| SHOPTIKAL LLC | SHEBOYGAN FALLS | WI | $51K |
| SHOPTIKAL LLC | MONROE | WI | $32K |
| SHOPTIKAL LLC | JANESVILLE | WI | $29K |
| SHOPTIKAL LLC | APPLETON | WI | $17K |
| SHOPTIKAL LLC | SPOKANE | WA | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 279 | $9K |
| 2022 | 723 | $24K |
| 2023 | 1,034 | $34K |
| 2024 | 926 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,151 | 1,002 | $36K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 533 | 473 | $22K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 789 | 713 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 361 | 326 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 116 | 92 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12 | 12 | $256.36 |