Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › BRIDGEWATER › COMPLETE FAMILY EYE CARE OPTOMETRY PA

COMPLETE FAMILY EYE CARE OPTOMETRY PA

NPI: 1770908576 · BRIDGEWATER, NJ 08807 · Optometrist · NPI assigned 03/03/2014

$34K
Total Medicaid Paid
1,150
Total Claims
1,147
Beneficiaries
8
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialLISITSYN, OLEG (OWNER)
NPI Enumeration Date03/03/2014

Related Entities

Other providers sharing the same authorized official: LISITSYN, OLEG

ProviderCityStateTotal Paid
BRONX VISTA INC BRONX NY $4.10M
PELHAM PARKWAY VISION CENTER INC BRONX NY $1.61M
FAMILY EYE CARE OPTOMETRY PC BROOKLYN NY $19K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,001 $30K
2019 149 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 249 249 $10K
92250 257 256 $8K
92285 172 172 $6K
92025 175 174 $4K
92133 94 94 $2K
92286 152 152 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 38 37 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 13 $689.20