NPI: 1437118668 · SAC CITY, IA 50583 · Eyewear Supplier · NPI assigned 03/17/2006
| Authorized Official | MOENCH, DAVID (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 03/17/2006 |
Other providers sharing the same authorized official: MOENCH, DAVID
| Provider | City | State | Total Paid |
|---|---|---|---|
| WOLFE CLINIC INC | MARSHALLTOWN | IA | $18.23M |
| WOLFE SURGERY CENTER, LLC | WEST DES MOINES | IA | $1.30M |
| WOLFE CLINIC EYE CENTERS LC | MARSHALLTOWN | IA | $153K |
| IOWA EYECARE ASSOCIATES PC | WATERLOO | IA | $87K |
| WOLFE CLINIC EYE CENTERS, LC | WEBSTER CITY | IA | $31K |
| WOLFE CLINIC EYE CENTERS, LC | FAIRFIELD | IA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $0.00 |
| 2019 | 12 | $0.00 |
| 2021 | 313 | $13K |
| 2023 | 14 | $777.15 |
| 2024 | 35 | $90.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 132 | 130 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 74 | 71 | $3K |
| 92002 | 37 | 37 | $2K | |
| V2020 | Frames, purchases | 83 | 82 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15 | 15 | $406.03 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14 | 13 | $270.12 |
| 92015 | Determination of refractive state | 35 | 26 | $90.30 |