PEARL EYE CARE CENTER, P.S.
NPI: 1376730382
· UNIVERSITY PLACE, WA 98467
· Optometrist
· NPI assigned 10/03/2007
$457K
Total Medicaid Paid
Provider Details
| Authorized Official | NOBLE, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/03/2007 |
Related Entities
Other providers sharing the same authorized official: NOBLE, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,489 |
$42K |
| 2019 |
2,540 |
$82K |
| 2020 |
2,366 |
$84K |
| 2021 |
3,626 |
$129K |
| 2022 |
2,125 |
$66K |
| 2023 |
2,228 |
$43K |
| 2024 |
1,100 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,908 |
2,832 |
$189K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,636 |
1,585 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,620 |
4,410 |
$81K |
| 92015 |
Determination of refractive state |
5,725 |
5,546 |
$51K |
| V2799 |
Vision item or service, miscellaneous |
313 |
310 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
206 |
$11K |
| 92083 |
|
15 |
14 |
$482.95 |
| 92250 |
|
16 |
15 |
$378.27 |