EYE TO EYE PA
NPI: 1760536908
· DERBY, KS 67037
· Optometrist
· NPI assigned 01/23/2007
$159K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BRANSTETTER, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
143 |
$2K |
| 2019 |
629 |
$19K |
| 2020 |
676 |
$19K |
| 2021 |
948 |
$28K |
| 2022 |
1,142 |
$37K |
| 2023 |
1,122 |
$35K |
| 2024 |
603 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
911 |
889 |
$61K |
| V2020 |
Frames, purchases |
908 |
884 |
$41K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
357 |
344 |
$19K |
| V2760 |
Scratch resistant coating, per lens |
947 |
920 |
$18K |
| 92015 |
Determination of refractive state |
1,535 |
1,480 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
63 |
$6K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
541 |
522 |
$5K |