PREMIUM EYECARE & ASSOCIATES PLLC
NPI: 1417407982
· CYPRESS, TX 77433
· Optometrist
· NPI assigned 10/09/2016
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, CANDACE (OPTOMETRIST/OWNER) |
| NPI Enumeration Date | 10/09/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
249 |
$6K |
| 2021 |
1,346 |
$33K |
| 2022 |
1,267 |
$29K |
| 2023 |
1,339 |
$31K |
| 2024 |
1,027 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
881 |
835 |
$36K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
623 |
595 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,341 |
1,248 |
$25K |
| V2020 |
Frames, purchases |
1,046 |
976 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,266 |
1,189 |
$15K |
| V2025 |
Deluxe frame |
71 |
70 |
$2K |