MANCHESTER OPTOMETRIC, PA
NPI: 1821287020
· MANCHESTER, NH 03102
· Optometrist
· NPI assigned 10/24/2007
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, RANDY (OPTOMETRIST/PARTNER) |
| NPI Enumeration Date | 10/24/2007 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, RANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
695 |
$20K |
| 2019 |
1,013 |
$27K |
| 2020 |
845 |
$23K |
| 2021 |
1,007 |
$28K |
| 2022 |
1,218 |
$35K |
| 2023 |
230 |
$5K |
| 2024 |
133 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
796 |
743 |
$47K |
| V2020 |
Frames, purchases |
1,111 |
1,013 |
$34K |
| 92015 |
Determination of refractive state |
1,484 |
1,424 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
179 |
177 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
380 |
343 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,142 |
1,046 |
$7K |
| 00000 |
|
49 |
12 |
$1K |