SUMMIT EYE SURGEONS INCORPORATED
NPI: 1437806486
· SAN JOSE, CA 95128
· Retina Specialist (Ophthalmology) Physician
· NPI assigned 03/09/2022
$489.13
Total Medicaid Paid
Provider Details
| Authorized Official | LALLY, ERIN (PRESIDENT) |
| NPI Enumeration Date | 03/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
24 |
$0.00 |
| 2024 |
25 |
$489.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
24 |
$489.13 |
| 92250 |
|
12 |
12 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$0.00 |