ARCHDALE OPTOMETRY CORPORATION PLLC
NPI: 1275660565
· COLORADO SPRINGS, CO 80918
· 152W00000X
$196K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
441 |
$12K |
| 2019 |
717 |
$24K |
| 2020 |
280 |
$8K |
| 2021 |
467 |
$20K |
| 2022 |
770 |
$23K |
| 2023 |
1,768 |
$57K |
| 2024 |
1,169 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
680 |
581 |
$59K |
| 92004 |
|
276 |
240 |
$30K |
| 92250 |
|
805 |
779 |
$29K |
| V2025 |
Eyeglasses delux frames |
142 |
131 |
$15K |
| 92015 |
|
2,010 |
1,927 |
$14K |
| V2784 |
Lens polycarb or equal |
455 |
403 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
232 |
204 |
$12K |
| 92340 |
|
493 |
434 |
$9K |
| V2750 |
Anti-reflective coating |
227 |
200 |
$6K |
| V2020 |
Vision svcs frames purchases |
170 |
154 |
$6K |
| V2410 |
Lens variab asphericity sing |
40 |
38 |
$4K |
| S9986 |
Not medically necessary svc |
82 |
82 |
$0.00 |