NOVA EYE CARE CENTER, LLC
NPI: 1568612190
· ALEXANDRIA, VA 22314
· 152W00000X
$452K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$4K |
| 2019 |
677 |
$28K |
| 2020 |
605 |
$31K |
| 2021 |
1,063 |
$59K |
| 2022 |
1,917 |
$105K |
| 2023 |
2,277 |
$124K |
| 2024 |
2,160 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,658 |
1,470 |
$132K |
| 92004 |
|
1,074 |
1,052 |
$118K |
| 92014 |
|
524 |
513 |
$53K |
| 99203 |
|
719 |
675 |
$51K |
| V2020 |
Vision svcs frames purchases |
657 |
652 |
$31K |
| 99213 |
|
426 |
355 |
$25K |
| 92015 |
|
3,438 |
3,326 |
$21K |
| 99204 |
|
173 |
152 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
40 |
40 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
68 |
68 |
$912.50 |
| 92250 |
|
26 |
25 |
$616.90 |
| 92340 |
|
52 |
52 |
$475.00 |