MICHAEL J GOUSY, OD LLC
NPI: 1396886479
· WESTFIELD, MA 01085
· Optometrist
· NPI assigned 02/09/2007
$134K
Total Medicaid Paid
Provider Details
| Authorized Official | GOUSY, MICHAEL (OWNER) |
| NPI Enumeration Date | 02/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,266 |
$34K |
| 2019 |
1,021 |
$27K |
| 2020 |
652 |
$15K |
| 2021 |
803 |
$20K |
| 2022 |
703 |
$18K |
| 2023 |
557 |
$14K |
| 2024 |
303 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
709 |
707 |
$41K |
| 92015 |
Determination of refractive state |
3,091 |
3,083 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
902 |
899 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
603 |
602 |
$24K |