NPI: 1588947485 · ALBUQUERQUE, NM 87109 · Eyewear Supplier · NPI assigned 09/27/2011
| Authorized Official | LIETHEN, JOHN (SECRETARY) |
| NPI Enumeration Date | 09/27/2011 |
Other providers sharing the same authorized official: LIETHEN, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| HEALTHCARE PARTNERS ASC-HB, LLC | HUNTINGTON BEACH | CA | $4.05M |
| TALBERT MEDICAL GROUP, P.C. | FOUNTAIN VALLEY | CA | $4.00M |
| DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C. | ANAHEIM | CA | $3.74M |
| TALBERT MEDICAL GROUP, P.C. | HUNTINGTON BEACH | CA | $3.73M |
| OPTUMCARE COLORADO ASC, LLC | COLORADO SPRINGS | CO | $87K |
| ARTA WESTERN CALIFORNIA, INC. | IRVINE | CA | $31K |
| TALBERT MEDICAL GROUP, P.C. | SANTA ANA | CA | $10K |
| OPTUMCARE ENDOSCOPY CENTER NEW MEXICO, LLC | ALBUQUERQUE | NM | $9K |
| TALBERT MEDICAL GROUP, P.C. | COMPTON | CA | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,573 | $44K |
| 2019 | 2,224 | $64K |
| 2020 | 1,495 | $42K |
| 2021 | 1,897 | $55K |
| 2022 | 693 | $22K |
| 2023 | 117 | $11K |
| 2024 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1,963 | 1,961 | $143K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 898 | 887 | $33K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 294 | 294 | $25K |
| V2020 | Frames, purchases | 801 | 798 | $19K |
| V2025 | Deluxe frame | 498 | 497 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1,543 | 1,529 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 51 | 51 | $3K |
| 92015 | Determination of refractive state | 1,963 | 1,961 | $2K |