OVITSKY VISION CARE OF INDIANA PC
NPI: 1831694330
· INDIANAPOLIS, IN 46204
· 152W00000X
$132K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
3,591 |
$44K |
| 2023 |
3,377 |
$43K |
| 2024 |
2,203 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
|
1,656 |
1,363 |
$44K |
| 92015 |
|
3,724 |
2,362 |
$29K |
| V2020 |
Vision svcs frames purchases |
1,157 |
661 |
$17K |
| 92002 |
|
514 |
378 |
$16K |
| 92014 |
|
972 |
866 |
$15K |
| 92012 |
|
418 |
355 |
$5K |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
329 |
91 |
$2K |
| V2101 |
Single visn sphere 4.12-7.00 |
319 |
91 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
50 |
25 |
$451.02 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
32 |
16 |
$178.84 |