DRS. GUTOWSKI & SONNENMOSER
NPI: 1881761088
· TUCUMCARI, NM 88401
· 152W00000X
$283K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
215 |
$2K |
| 2019 |
650 |
$13K |
| 2020 |
394 |
$10K |
| 2021 |
1,216 |
$30K |
| 2022 |
1,156 |
$35K |
| 2023 |
1,838 |
$98K |
| 2024 |
1,408 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,049 |
1,047 |
$95K |
| V2100 |
Lens spher single plano 4.00 |
1,481 |
1,475 |
$68K |
| V2020 |
Vision svcs frames purchases |
1,121 |
1,118 |
$42K |
| V2025 |
Eyeglasses delux frames |
516 |
516 |
$31K |
| 92340 |
|
1,201 |
1,196 |
$16K |
| 92014 |
|
200 |
200 |
$15K |
| 92012 |
|
159 |
158 |
$12K |
| 92015 |
|
1,150 |
1,145 |
$4K |