IDAHO EYE CENTER PA
NPI: 1518021849
· IDAHO FALLS, ID 83404
· Ophthalmology Physician
· NPI assigned 12/21/2006
$262K
Total Medicaid Paid
Provider Details
| Authorized Official | GARDNER, BRADLEY (SENIOR VICE PRESIDENT) |
| Parent Organization | IDAHO EYE CENTER, PA |
| NPI Enumeration Date | 12/21/2006 |
Related Entities
Other providers sharing the same authorized official: GARDNER, BRADLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
298 |
$11K |
| 2019 |
695 |
$21K |
| 2020 |
1,155 |
$55K |
| 2021 |
1,226 |
$55K |
| 2022 |
1,328 |
$61K |
| 2023 |
865 |
$39K |
| 2024 |
542 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
472 |
366 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,417 |
1,361 |
$57K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
974 |
921 |
$44K |
| 92134 |
|
1,992 |
1,910 |
$30K |
| J9035 |
Injection, bevacizumab, 10 mg |
403 |
393 |
$14K |
| 92235 |
|
271 |
266 |
$10K |
| 92136 |
|
434 |
346 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
75 |
$2K |
| 92133 |
|
55 |
55 |
$1K |
| 92083 |
|
13 |
13 |
$674.19 |