COSTA, LOURDES
NPI: 1477634814
· HOUSTON, TX 77022
· Optometrist
· NPI assigned 10/18/2006
$429K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$1K |
| 2019 |
46 |
$3K |
| 2020 |
448 |
$19K |
| 2021 |
2,439 |
$102K |
| 2022 |
2,559 |
$114K |
| 2023 |
2,506 |
$112K |
| 2024 |
1,848 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
9,620 |
9,460 |
$419K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
201 |
198 |
$10K |
| 92015 |
Determination of refractive state |
40 |
38 |
$350.00 |