HTI LLC , DBA PEARLE VISION CENTER
NPI: 1700244092
· LONGMONT, CO 80501
· 332H00000X
$300K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
191 |
$7K |
| 2019 |
428 |
$9K |
| 2020 |
532 |
$15K |
| 2021 |
1,025 |
$31K |
| 2022 |
1,600 |
$57K |
| 2023 |
1,930 |
$102K |
| 2024 |
1,470 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
852 |
680 |
$84K |
| V2410 |
Lens variab asphericity sing |
879 |
687 |
$71K |
| V2100 |
Lens spher single plano 4.00 |
713 |
595 |
$40K |
| V2784 |
Lens polycarb or equal |
1,579 |
1,215 |
$36K |
| V2750 |
Anti-reflective coating |
1,489 |
1,143 |
$34K |
| 92340 |
|
1,545 |
1,196 |
$30K |
| V2020 |
Vision svcs frames purchases |
119 |
100 |
$5K |