EYE Q OPTOMETRIC CLINIC, LIMITED
NPI: 1245428135
· GRAND RAPIDS, MN 55744
· Eyewear Supplier
· NPI assigned 10/04/2007
$176K
Total Medicaid Paid
Provider Details
| Authorized Official | DALEN, DARWIN (OWNER) |
| NPI Enumeration Date | 10/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
911 |
$1K |
| 2019 |
836 |
$25K |
| 2020 |
571 |
$18K |
| 2021 |
685 |
$21K |
| 2022 |
1,075 |
$34K |
| 2023 |
1,382 |
$41K |
| 2024 |
1,115 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
993 |
980 |
$52K |
| V2020 |
Frames, purchases |
1,462 |
1,435 |
$39K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
922 |
909 |
$32K |
| 92015 |
Determination of refractive state |
2,106 |
2,063 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
908 |
894 |
$19K |
| 92002 |
|
184 |
184 |
$10K |