ELMONT OPTOMETRY PLLC
NPI: 1538741160
· ELMONT, NY 11003
· Optometrist
· NPI assigned 04/23/2021
$323K
Total Medicaid Paid
Provider Details
| Authorized Official | TAO, JOHN (OD/OWNER) |
| NPI Enumeration Date | 04/23/2021 |
Related Entities
Other providers sharing the same authorized official: TAO, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
44 |
$2K |
| 2022 |
1,315 |
$55K |
| 2023 |
4,222 |
$200K |
| 2024 |
1,651 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,389 |
1,389 |
$101K |
| 92250 |
|
1,075 |
1,075 |
$48K |
| 68761 |
|
548 |
264 |
$41K |
| 92083 |
|
804 |
804 |
$37K |
| 92285 |
|
814 |
814 |
$23K |
| 92060 |
|
508 |
507 |
$17K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
817 |
485 |
$17K |
| 76512 |
|
231 |
116 |
$15K |
| V2020 |
Frames, purchases |
721 |
713 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
132 |
125 |
$5K |
| 92133 |
|
169 |
166 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$656.00 |
| 92020 |
|
12 |
12 |
$180.12 |