LITTLE FALLS EYE CARE CENTER PA

NPI: 1811452048 · ALEXANDRIA, MN 56308 · Optometrist · NPI assigned 02/01/2019

$36K

Total Medicaid Paid

1,237

Total Claims

1,180

Beneficiaries

Codes Billed

2019-05

First Month

2020-06

Last Month

Provider Details

Authorized Official	HINDERSCHIED, TIM (OFFICE MANAGER)
Parent Organization	LITTLE FALLS EYE CARE CENTER P.A
NPI Enumeration Date	02/01/2019

Other providers sharing the same authorized official: HINDERSCHIED, TIM

Provider	City	State	Total Paid
LITTLE FALLS EYE CARE CENTER P.A	LITTLE FALLS	MN	$263K

Year	Claims	Total Paid
2019	886	$28K
2020	351	$8K

Code	Description	Claims	Beneficiaries	Total Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	156	151	$13K
V2020	Frames, purchases	270	256	$7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	134	127	$5K
92015	Determination of refractive state	297	288	$4K
92340	Fitting of spectacles, except for aphakia; monofocal	161	149	$4K
V2784	Lens, polycarbonate or equal, any index, per lens	183	174	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	36	35	$957.01