OPTIC GALLERY, LLC
NPI: 1407252307
· MYRTLE BEACH, SC 29579
· Optometrist
· NPI assigned 11/05/2014
$229K
Total Medicaid Paid
Provider Details
| Authorized Official | MERHI, EVA (OPTOMETRIST) |
| NPI Enumeration Date | 11/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
711 |
$22K |
| 2019 |
671 |
$20K |
| 2020 |
637 |
$19K |
| 2021 |
709 |
$22K |
| 2022 |
1,280 |
$48K |
| 2023 |
1,309 |
$48K |
| 2024 |
1,390 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,125 |
1,122 |
$79K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
965 |
961 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,990 |
1,982 |
$36K |
| 92015 |
Determination of refractive state |
2,627 |
2,615 |
$35K |