I-CARE FAMILY VISION CENTER, LLC
NPI: 1548718786
· WALPOLE, MA 02081
· Optometrist
· NPI assigned 09/16/2016
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | CUI, QIQI (OWNER) |
| NPI Enumeration Date | 09/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
200 |
$8K |
| 2019 |
245 |
$9K |
| 2020 |
225 |
$7K |
| 2021 |
448 |
$18K |
| 2022 |
418 |
$16K |
| 2023 |
685 |
$31K |
| 2024 |
532 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92082 |
|
1,177 |
1,177 |
$63K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
390 |
390 |
$27K |
| 92015 |
Determination of refractive state |
910 |
910 |
$12K |
| 92250 |
|
263 |
263 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$697.45 |