PRISM EYE ASSOCIATES LLC
NPI: 1871100669
· ANCHORAGE, AK 99507
· Optometrist
· NPI assigned 09/26/2020
$848K
Total Medicaid Paid
Provider Details
| Authorized Official | PEDIGO, DAVID (PRESIDENT) |
| NPI Enumeration Date | 09/26/2020 |
Related Entities
Other providers sharing the same authorized official: PEDIGO, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
223 |
$23K |
| 2021 |
2,161 |
$186K |
| 2022 |
2,921 |
$255K |
| 2023 |
4,086 |
$328K |
| 2024 |
1,028 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,454 |
2,826 |
$538K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,281 |
1,039 |
$175K |
| 92015 |
Determination of refractive state |
4,859 |
3,980 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
475 |
361 |
$19K |
| 99002 |
|
297 |
227 |
$2K |
| 92341 |
|
53 |
30 |
$2K |