EYESTHETICA
NPI: 1568687853
· PASADENA, CA 91105
· Specialist
· NPI assigned 04/13/2007
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | GRISBY, MARK (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 04/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
362 |
$6K |
| 2019 |
857 |
$23K |
| 2020 |
565 |
$22K |
| 2021 |
527 |
$10K |
| 2022 |
517 |
$12K |
| 2023 |
718 |
$15K |
| 2024 |
1,132 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
924 |
923 |
$47K |
| 92285 |
|
2,855 |
2,816 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
505 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
52 |
$3K |
| 92081 |
|
278 |
276 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$558.17 |
| 31231 |
|
13 |
13 |
$0.00 |