WICHITA FAMILY VISION CLINIC, P.A.
NPI: 1700978244
· WICHITA, KS 67212
· Optometrist
· NPI assigned 09/29/2006
$193K
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, ROBERT (OWNER) |
| NPI Enumeration Date | 09/29/2006 |
Related Entities
Other providers sharing the same authorized official: NELSON, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
613 |
$14K |
| 2019 |
910 |
$21K |
| 2020 |
719 |
$15K |
| 2021 |
1,033 |
$24K |
| 2022 |
1,579 |
$44K |
| 2023 |
1,832 |
$53K |
| 2024 |
896 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,466 |
1,343 |
$86K |
| V2020 |
Frames, purchases |
1,520 |
1,405 |
$62K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
762 |
446 |
$17K |
| 92015 |
Determination of refractive state |
3,186 |
2,870 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
78 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
540 |
506 |
$5K |
| 92250 |
|
18 |
15 |
$273.08 |