MALLAMPALLI, VIVEK
NPI: 1629636550
· JAMAICA PLAIN, MA 02130
· Optometrist
· NPI assigned 06/05/2019
$979.11
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
25 |
$979.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$816.48 |
| 92015 |
Determination of refractive state |
13 |
13 |
$162.63 |