PRUDHOMME VISION LLC
NPI: 1649504432
· MANCHESTER, CT 06042
· Optometrist
· NPI assigned 09/25/2009
$347K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
504 |
$22K |
| 2020 |
1,289 |
$59K |
| 2021 |
1,203 |
$51K |
| 2022 |
1,746 |
$80K |
| 2023 |
1,589 |
$70K |
| 2024 |
1,524 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
4,925 |
4,871 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,612 |
1,587 |
$103K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,302 |
1,295 |
$65K |
| 92250 |
|
16 |
16 |
$645.67 |