KELLY FAMILY EYECARE, LLC
NPI: 1558713859
· VERNON, CT 06066
· 152W00000X
$373K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,440 |
$56K |
| 2019 |
1,589 |
$58K |
| 2020 |
1,527 |
$55K |
| 2021 |
1,200 |
$46K |
| 2022 |
1,101 |
$41K |
| 2023 |
1,747 |
$62K |
| 2024 |
1,715 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
4,522 |
3,967 |
$140K |
| 92004 |
|
1,627 |
1,462 |
$91K |
| 92014 |
|
2,055 |
1,896 |
$88K |
| V2020 |
Vision svcs frames purchases |
677 |
648 |
$19K |
| 92340 |
|
495 |
475 |
$10K |
| 99213 |
|
313 |
251 |
$7K |
| S0580 |
Polycarb lens |
248 |
239 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
180 |
174 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
101 |
97 |
$3K |
| 92250 |
|
101 |
83 |
$2K |