ST. LOUIS EYE CLINIC
NPI: 1366555690
· SAINT LOUIS, MO 63128
· Optician
· NPI assigned 08/17/2006
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | LELE, S (PRESIDENT) |
| NPI Enumeration Date | 08/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
954 |
$16K |
| 2019 |
1,119 |
$20K |
| 2020 |
936 |
$17K |
| 2021 |
1,182 |
$23K |
| 2022 |
887 |
$19K |
| 2023 |
885 |
$18K |
| 2024 |
519 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,700 |
2,534 |
$105K |
| 92015 |
Determination of refractive state |
3,550 |
2,329 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
49 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
110 |
$3K |
| V2020 |
Frames, purchases |
50 |
50 |
$987.50 |