EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC

NPI: 1295810877 · ROCHESTER, NY 14620 · Eyewear Supplier · NPI assigned 10/25/2006

$592K

Total Medicaid Paid

13,884

Total Claims

13,752

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	EASSA, SHARIF (CEO)
NPI Enumeration Date	10/25/2006

Other providers sharing the same authorized official: EASSA, SHARIF

Provider	City	State	Total Paid
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC	ROCHESTER	NY	$948K
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC	WEBSTER	NY	$816K
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC	ROCHESTER	NY	$335K
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC	WEBSTER	NY	$139K
EYE PHYSICIANS AND SURGEONS OF WESTERN NEW YORK PLLC	ROCHESTER	NY	$3K

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	4,611	4,569	$199K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,889	2,833	$148K
92014		637	635	$63K
V2784	Lens, polycarbonate or equal, any index, per lens	950	942	$58K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	2,743	2,723	$58K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	703	701	$35K
92015		1,088	1,087	$17K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	208	207	$11K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	27	27	$2K
92004		14	14	$2K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	14	14	$753.54