WOLFE CLINIC EYE CENTERS LC
NPI: 1720067424
· MARSHALLTOWN, IA 50158
· Optometrist
· NPI assigned 01/11/2006
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | MOENCH, DAVID (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 01/11/2006 |
Related Entities
Other providers sharing the same authorized official: MOENCH, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
56 |
$3K |
| 2022 |
792 |
$35K |
| 2023 |
1,437 |
$58K |
| 2024 |
1,823 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,127 |
1,044 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
443 |
416 |
$35K |
| V2020 |
Frames, purchases |
898 |
822 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
320 |
314 |
$15K |
| 92015 |
Determination of refractive state |
1,078 |
996 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
176 |
160 |
$4K |
| 92002 |
|
66 |
66 |
$4K |