GOLDEN SAN GABRIEL OPTOMETRIC VISION CENTER
NPI: 1740216936
· SAN GABRIEL, CA 91776
· Optometrist
· NPI assigned 06/23/2006
$323K
Total Medicaid Paid
Provider Details
| Authorized Official | SHIN, JIYEN (OWNER/OPTOMETRIS) |
| NPI Enumeration Date | 06/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,567 |
$17K |
| 2019 |
5,707 |
$60K |
| 2020 |
5,170 |
$77K |
| 2021 |
8,899 |
$131K |
| 2022 |
2,103 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,099 |
4,099 |
$91K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,886 |
2,886 |
$75K |
| V2020 |
Frames, purchases |
5,090 |
5,087 |
$64K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,389 |
4,386 |
$55K |
| 92015 |
Determination of refractive state |
8,859 |
8,859 |
$37K |
| 92341 |
|
57 |
56 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$248.40 |
| 3072F |
|
52 |
52 |
$0.00 |