WESTCHESTER OPTICAL INC.
NPI: 1609004183
· BRONX, NY 10472
· 152W00000X
$576K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,087 |
$28K |
| 2019 |
3,245 |
$83K |
| 2020 |
2,681 |
$69K |
| 2021 |
3,094 |
$79K |
| 2022 |
1,739 |
$51K |
| 2023 |
4,340 |
$166K |
| 2024 |
2,743 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,420 |
1,412 |
$106K |
| 92014 |
|
1,755 |
1,740 |
$105K |
| 92250 |
|
2,067 |
2,034 |
$94K |
| V2020 |
Vision svcs frames purchases |
4,217 |
4,159 |
$56K |
| 68761 |
|
489 |
305 |
$42K |
| V2100 |
Lens spher single plano 4.00 |
2,620 |
1,321 |
$40K |
| 92083 |
|
641 |
630 |
$31K |
| 92340 |
|
1,398 |
1,382 |
$19K |
| 92015 |
|
1,383 |
1,363 |
$17K |
| 92285 |
|
700 |
698 |
$17K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
37 |
36 |
$11K |
| V2784 |
Lens polycarb or equal |
426 |
320 |
$10K |
| S0580 |
Polycarb lens |
578 |
571 |
$9K |
| 76512 |
|
53 |
27 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
561 |
373 |
$4K |
| V2200 |
Lens spher bifoc plano 4.00d |
199 |
100 |
$3K |
| 92202 |
|
142 |
138 |
$3K |
| 92012 |
|
61 |
57 |
$2K |
| V2102 |
Singl visn sphere 7.12-20.00 |
104 |
104 |
$2K |
| 92060 |
|
26 |
26 |
$916.76 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
52 |
26 |
$171.48 |