NPI: 1447200456 · RACINE, WI 53406 · Optometrist · NPI assigned 05/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 310 | $44.54 |
| 2020 | 729 | $30.00 |
| 2021 | 138 | $100.50 |
| 2022 | 355 | $3K |
| 2023 | 67 | $33.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 391 | 373 | $2K |
| V2020 | Frames, purchases | 425 | 344 | $837.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 115 | 109 | $401.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14 | 13 | $60.30 |
| V2025 | Deluxe frame | 297 | 244 | $30.00 |
| 92015 | Determination of refractive state | 357 | 339 | $0.00 |