COASTAL EYECARE TILLAMOOK LLC
NPI: 1295210011
· TILLAMOOK, OR 97141
· Optometrist
· NPI assigned 09/27/2018
$135K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: THORSEN, DARREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
434 |
$16K |
| 2020 |
256 |
$5K |
| 2021 |
330 |
$16K |
| 2022 |
328 |
$22K |
| 2023 |
465 |
$33K |
| 2024 |
687 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
763 |
661 |
$73K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
335 |
328 |
$31K |
| 92015 |
Determination of refractive state |
1,073 |
961 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
237 |
231 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
67 |
$5K |