PRO VISION OPTICAL
NPI: 1295259554
· GALLUP, NM 87301
· Eyewear Supplier
· NPI assigned 07/28/2017
$671K
Total Medicaid Paid
Provider Details
| Authorized Official | KARRAM, NORMA (OWNER) |
| NPI Enumeration Date | 07/28/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,314 |
$80K |
| 2019 |
3,440 |
$84K |
| 2020 |
2,848 |
$69K |
| 2021 |
3,135 |
$75K |
| 2022 |
3,133 |
$76K |
| 2023 |
2,827 |
$164K |
| 2024 |
2,410 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,108 |
7,003 |
$272K |
| V2106 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens |
6,914 |
6,806 |
$215K |
| V2020 |
Frames, purchases |
7,064 |
6,960 |
$183K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
21 |
20 |
$230.49 |