CODMAN EYE CARE AFFILIATES -SOUTH SHORE INC
NPI: 1679062335
· RANDOLPH, MA 02368
· Optometrist
· NPI assigned 05/08/2018
$332K
Total Medicaid Paid
Provider Details
| Authorized Official | HUYNH, ANDY (MANAGING OPTOMETRIST) |
| NPI Enumeration Date | 05/08/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
78 |
$2K |
| 2019 |
775 |
$19K |
| 2020 |
1,008 |
$29K |
| 2021 |
1,461 |
$45K |
| 2022 |
1,746 |
$53K |
| 2023 |
2,481 |
$84K |
| 2024 |
2,762 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,509 |
3,867 |
$132K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,155 |
1,151 |
$80K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,529 |
1,519 |
$77K |
| 92015 |
Determination of refractive state |
3,041 |
3,017 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$1K |
| 92341 |
|
24 |
24 |
$877.68 |
| 92133 |
|
12 |
12 |
$258.56 |
| 1036F |
|
13 |
13 |
$0.00 |