MAUTINO, TYLER
NPI: 1679944177
· WARREN, PA 16365
· Optometrist
· NPI assigned 10/12/2015
$214K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
60 |
$1K |
| 2021 |
404 |
$9K |
| 2022 |
1,704 |
$68K |
| 2023 |
1,552 |
$72K |
| 2024 |
1,354 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
927 |
913 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,515 |
1,506 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
404 |
402 |
$28K |
| 92015 |
Determination of refractive state |
2,197 |
2,174 |
$16K |
| 92250 |
|
14 |
14 |
$772.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$539.00 |