REXBURG VISION CENTER
NPI: 1801830666
· REXBURG, ID 83440
· Eyewear Supplier
· NPI assigned 06/15/2006
$301K
Total Medicaid Paid
Provider Details
| Authorized Official | HATCH, DARREN (PARTNER) |
| NPI Enumeration Date | 06/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
722 |
$40K |
| 2019 |
527 |
$25K |
| 2020 |
656 |
$37K |
| 2021 |
773 |
$42K |
| 2022 |
1,286 |
$61K |
| 2023 |
1,620 |
$58K |
| 2024 |
1,162 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,793 |
1,788 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,892 |
2,869 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
363 |
360 |
$43K |
| 92250 |
|
232 |
232 |
$7K |
| 92015 |
Determination of refractive state |
1,466 |
1,464 |
$729.85 |