NPI: 1275600496 · PENN YAN, NY 14527 · Exclusive Provider Organization · NPI assigned 11/30/2006
| Authorized Official | SMITH, ANDREW (OPTOMETRIST) |
| NPI Enumeration Date | 11/30/2006 |
Other providers sharing the same authorized official: SMITH, ANDREW
| Provider | City | State | Total Paid |
|---|---|---|---|
| MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC | LOCUST | NC | $5.12M |
| TIBBIE RAE'S TRANSPORTATION LLC | COLORADO SPRINGS | CO | $846K |
| GRAND COUNTY EMERGENCY MEDICAL SERVICES SPECIAL SERVICE DISTRICT | MOAB | UT | $212K |
| ALLERGY ASSOCIATES OF UTAH, P.C. | SANDY | UT | $5K |
| SMITH CHIROPRACTIC AND WELLNESS | WHITEVILLE | NC | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 542 | $32K |
| 2019 | 489 | $28K |
| 2020 | 763 | $47K |
| 2021 | 755 | $44K |
| 2022 | 774 | $46K |
| 2023 | 723 | $45K |
| 2024 | 445 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1,252 | 1,245 | $88K |
| V2020 | Frames, purchases | 1,684 | 1,663 | $72K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 961 | 957 | $68K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 359 | 359 | $31K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 195 | 193 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15 | 15 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | 25 | $2K |