WAYMART EYECARE
NPI: 1770024572
· WAYMART, PA 18472
· Optometrist
· NPI assigned 03/13/2017
$592.08
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$592.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$538.08 |
| 92015 |
Determination of refractive state |
12 |
12 |
$54.00 |