COUTURE OPTICAL NYC, INC.
NPI: 1851713101
· BROOKLYN, NY 11204
· 152W00000X
$434K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
456 |
$15K |
| 2019 |
1,471 |
$61K |
| 2020 |
1,588 |
$63K |
| 2021 |
2,650 |
$95K |
| 2022 |
3,955 |
$135K |
| 2023 |
1,962 |
$62K |
| 2024 |
85 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
2,293 |
2,288 |
$156K |
| 92250 |
|
2,707 |
2,700 |
$126K |
| 92014 |
|
547 |
542 |
$30K |
| 92015 |
|
2,472 |
2,470 |
$29K |
| 92083 |
|
273 |
272 |
$14K |
| 92285 |
|
917 |
914 |
$12K |
| 92060 |
|
253 |
252 |
$9K |
| 92340 |
|
658 |
655 |
$9K |
| V2783 |
Lens, >= 1.66 p/>=1.80 g |
29 |
29 |
$9K |
| V2219 |
Lens bifocal seg width over |
94 |
92 |
$8K |
| V2020 |
Vision svcs frames purchases |
811 |
806 |
$8K |
| 92012 |
|
155 |
153 |
$6K |
| 99204 |
|
64 |
64 |
$5K |
| 92225 |
|
102 |
100 |
$3K |
| 92341 |
|
126 |
124 |
$2K |
| 92202 |
|
135 |
135 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
217 |
217 |
$2K |
| 92020 |
|
103 |
103 |
$1K |
| 68761 |
|
12 |
12 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
84 |
82 |
$732.60 |
| 92133 |
|
13 |
13 |
$373.55 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
14 |
14 |
$322.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
16 |
16 |
$302.40 |
| 3072F |
|
72 |
68 |
$0.00 |