ULTRA EYECARE, P.C.
NPI: 1427614874
· DES MOINES, IA 50320
· Optometrist
· NPI assigned 05/11/2019
$417K
Total Medicaid Paid
Provider Details
| Authorized Official | BUDAHN, MICHAEL (OPTOMETRIST) |
| NPI Enumeration Date | 05/11/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
145 |
$14K |
| 2020 |
688 |
$50K |
| 2021 |
1,658 |
$75K |
| 2022 |
1,672 |
$75K |
| 2023 |
2,045 |
$95K |
| 2024 |
2,307 |
$109K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,064 |
3,044 |
$285K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,152 |
1,149 |
$80K |
| 92015 |
Determination of refractive state |
4,256 |
4,192 |
$50K |
| 92002 |
|
30 |
30 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$632.97 |