LIETZ, JEROME
NPI: 1609968650
· CREST HILL, IL 60403
· Optometrist
· NPI assigned 09/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$540.00 |
| 2021 |
266 |
$11K |
| 2022 |
108 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
119 |
119 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
108 |
108 |
$5K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
74 |
73 |
$5K |
| V2020 |
Frames, purchases |
72 |
72 |
$777.60 |
| V2025 |
Deluxe frame |
13 |
12 |
$272.74 |