OEC WATERBURY LLC
NPI: 1477097285
· WATERBURY, CT 06705
· Optometrist
· NPI assigned 12/13/2016
$484K
Total Medicaid Paid
Provider Details
| Authorized Official | BONNANZIO, KAREN (MEMBER) |
| Parent Organization | ORONOQUE EYE CARE INC |
| NPI Enumeration Date | 12/13/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
821 |
$26K |
| 2019 |
1,595 |
$51K |
| 2020 |
1,775 |
$58K |
| 2021 |
3,053 |
$100K |
| 2022 |
2,882 |
$95K |
| 2023 |
2,804 |
$94K |
| 2024 |
1,855 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
4,088 |
3,829 |
$142K |
| V2020 |
Frames, purchases |
2,224 |
2,143 |
$63K |
| 92014 |
|
1,489 |
1,430 |
$62K |
| 92004 |
|
994 |
927 |
$59K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,861 |
1,787 |
$52K |
| 92340 |
|
2,021 |
1,964 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,141 |
1,112 |
$34K |
| 92250 |
|
533 |
247 |
$19K |
| 99213 |
|
393 |
352 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
41 |
41 |
$877.88 |