ROBERT D ROLEN III OD LLC
NPI: 1295015113
· HERMISTON, OR 97838
· Optometrist
· NPI assigned 08/23/2011
$251K
Total Medicaid Paid
Provider Details
| Authorized Official | ROLEN, ROBERT (OPTOMETRIST) |
| NPI Enumeration Date | 08/23/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,794 |
$112K |
| 2019 |
1,828 |
$112K |
| 2020 |
466 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
765 |
759 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
633 |
629 |
$90K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,301 |
1,296 |
$45K |
| 92015 |
Determination of refractive state |
1,389 |
1,384 |
$26K |