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PEDIATRIC OPHTHALMOLOGY OF ERIE, INC
PEDIATRIC OPHTHALMOLOGY OF ERIE, INC
NPI: 1629127683
· ERIE, PA 16501
· 207W00000X
$205K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
158 |
$1K |
| 2019 |
158 |
$657.60 |
| 2020 |
344 |
$10K |
| 2021 |
1,560 |
$50K |
| 2022 |
1,309 |
$37K |
| 2023 |
958 |
$23K |
| 2024 |
1,726 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,399 |
1,375 |
$61K |
| V2020 |
Vision svcs frames purchases |
577 |
569 |
$52K |
| 99214 |
|
429 |
424 |
$25K |
| 92014 |
|
325 |
318 |
$21K |
| 92015 |
|
2,674 |
2,616 |
$16K |
| 92060 |
|
315 |
313 |
$13K |
| 99204 |
|
39 |
39 |
$4K |
| 99203 |
|
54 |
53 |
$4K |
| 92004 |
|
51 |
51 |
$4K |
| V2784 |
Lens polycarb or equal |
74 |
57 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
185 |
173 |
$2K |
| 99212 |
|
20 |
20 |
$546.76 |
| V2100 |
Lens spher single plano 4.00 |
42 |
39 |
$391.76 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
29 |
26 |
$312.17 |