IMPERIAL BEACH OPTOMETRIC CORPORATION
NPI: 1790249563
· SAN DIEGO, CA 92154
· Optometrist
· NPI assigned 01/25/2019
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | TAM, MAY (IBOC VICE PRESIDENT) |
| NPI Enumeration Date | 01/25/2019 |
Related Entities
Other providers sharing the same authorized official: TAM, MAY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,409 |
$57K |
| 2021 |
6,170 |
$125K |
| 2022 |
1,166 |
$15K |
| 2023 |
2,940 |
$27K |
| 2024 |
1,944 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
4,201 |
4,189 |
$69K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,239 |
1,233 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,053 |
2,047 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,324 |
3,311 |
$38K |
| 92015 |
Determination of refractive state |
2,837 |
2,829 |
$15K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
282 |
280 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
329 |
329 |
$9K |
| 92341 |
|
364 |
363 |
$6K |