DELLA PORTA EYECARE, LLC
NPI: 1366948150
· BRISTOL, CT 06010
· 152W00000X
$112K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$5K |
| 2019 |
589 |
$17K |
| 2020 |
501 |
$15K |
| 2021 |
719 |
$22K |
| 2022 |
504 |
$17K |
| 2023 |
600 |
$20K |
| 2024 |
515 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
1,672 |
1,443 |
$50K |
| 92014 |
|
629 |
584 |
$27K |
| V2020 |
Vision svcs frames purchases |
552 |
480 |
$14K |
| 92004 |
|
236 |
194 |
$11K |
| 92340 |
|
240 |
208 |
$4K |
| 92250 |
|
102 |
93 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
51 |
50 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
22 |
19 |
$604.58 |
| S0580 |
Polycarb lens |
34 |
27 |
$486.42 |
| 99213 |
|
13 |
12 |
$396.39 |