20 20 ICARE, PLLC
NPI: 1871146415
· KILLEEN, TX 76543
· Optometrist
· NPI assigned 07/23/2019
$158K
Total Medicaid Paid
Provider Details
| Authorized Official | DO, LONG (OWNER/PRESIDENT) |
| NPI Enumeration Date | 07/23/2019 |
Related Entities
Other providers sharing the same authorized official: DO, LONG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
314 |
$12K |
| 2021 |
1,639 |
$64K |
| 2022 |
1,560 |
$63K |
| 2023 |
301 |
$12K |
| 2024 |
165 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,914 |
1,901 |
$78K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,893 |
1,872 |
$77K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$1K |
| 92015 |
Determination of refractive state |
83 |
76 |
$710.68 |
| 3072F |
|
76 |
76 |
$0.00 |