EMPIRE VISION CENTER INC
NPI: 1841253614
· BROCKPORT, NY 14420
· Optometrist
· NPI assigned 04/11/2006
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSA, THOMAS (SVP) |
| Parent Organization | EMPIRE VISION CENTER INC |
| NPI Enumeration Date | 04/11/2006 |
Related Entities
Other providers sharing the same authorized official: ROSA, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
792 |
$15K |
| 2019 |
1,207 |
$25K |
| 2020 |
889 |
$16K |
| 2021 |
913 |
$21K |
| 2022 |
1,240 |
$22K |
| 2023 |
2,111 |
$31K |
| 2024 |
1,327 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,539 |
1,787 |
$71K |
| V2020 |
Frames, purchases |
2,229 |
2,173 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
769 |
767 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
561 |
559 |
$22K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,352 |
654 |
$1K |
| 92250 |
|
15 |
15 |
$525.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
14 |
14 |
$480.00 |