WILLISTON BASIN EYECARE ASSOCIATES, P.C.
NPI: 1225323504
· WILLISTON, ND 58801
· Optometrist
· NPI assigned 06/14/2011
$146K
Total Medicaid Paid
Provider Details
| Authorized Official | SIME, LAURALI (VICE PRESIDENT) |
| NPI Enumeration Date | 06/14/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
666 |
$15K |
| 2019 |
467 |
$13K |
| 2020 |
469 |
$14K |
| 2021 |
1,134 |
$39K |
| 2022 |
607 |
$23K |
| 2023 |
843 |
$31K |
| 2024 |
549 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,239 |
2,721 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
526 |
429 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
374 |
307 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
596 |
537 |
$18K |