INTEGRATED OCULAR PROSTHETICS
NPI: 1881158210
· VISALIA, CA 93291
· Ocularist
· NPI assigned 01/30/2019
$206K
Total Medicaid Paid
Provider Details
| Authorized Official | ALCORTA, ANTONIO (OCULARIST, OWNER) |
| NPI Enumeration Date | 01/30/2019 |
Related Entities
Other providers sharing the same authorized official: ALCORTA, ANTONIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
165 |
$16K |
| 2020 |
563 |
$49K |
| 2021 |
508 |
$24K |
| 2022 |
835 |
$73K |
| 2023 |
529 |
$25K |
| 2024 |
451 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2628 |
Fabrication and fitting of ocular conformer |
652 |
442 |
$70K |
| L7520 |
Repair prosthetic device, labor component, per 15 minutes |
1,085 |
1,060 |
$49K |
| V2627 |
Scleral cover shell |
53 |
50 |
$30K |
| V2629 |
Prosthetic eye, other type |
62 |
59 |
$22K |
| V2624 |
Polishing/resurfacing of ocular prosthesis |
1,172 |
1,126 |
$19K |
| L8046 |
Partial facial prosthesis, provided by a non-physician |
13 |
12 |
$9K |
| V2623 |
Prosthetic eye, plastic, custom |
14 |
13 |
$5K |