PROGRESSIVE EYE CENTER OF MELBOURNE, LLC
NPI: 1619371283
· MELBOURNE, AR 72556
· Optometrist
· NPI assigned 10/10/2014
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | ELLIS, JERRY (PRESIDENT) |
| NPI Enumeration Date | 10/10/2014 |
Related Entities
Other providers sharing the same authorized official: ELLIS, JERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
977 |
$42K |
| 2019 |
1,055 |
$47K |
| 2020 |
410 |
$20K |
| 2021 |
150 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,167 |
1,107 |
$55K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
696 |
673 |
$39K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
148 |
146 |
$9K |
| 92015 |
Determination of refractive state |
406 |
315 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
118 |
$5K |
| 92370 |
|
17 |
17 |
$586.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$488.08 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24 |
24 |
$0.01 |