GILTHVEDT EYECARE CLINIC, INC
NPI: 1437175882
· OWATONNA, MN 55060
· 152W00000X
$405K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,021 |
$14K |
| 2019 |
2,227 |
$67K |
| 2020 |
2,028 |
$60K |
| 2021 |
2,424 |
$76K |
| 2022 |
2,205 |
$71K |
| 2023 |
1,965 |
$62K |
| 2024 |
1,662 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,526 |
2,501 |
$188K |
| 92340 |
|
2,501 |
2,443 |
$55K |
| V2020 |
Vision svcs frames purchases |
1,779 |
1,741 |
$44K |
| 92015 |
|
3,767 |
3,724 |
$43K |
| 92004 |
|
365 |
359 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,489 |
936 |
$21K |
| V2784 |
Lens polycarb or equal |
2,043 |
2,003 |
$19K |
| 99213 |
|
15 |
15 |
$912.79 |
| 92341 |
|
25 |
25 |
$697.75 |
| V2100 |
Lens spher single plano 4.00 |
22 |
16 |
$396.22 |