ALAMO PEDIATRIC EYE CENTER, PLLC
NPI: 1902596497
· SAN ANTONIO, TX 78249
· Ophthalmology Physician
· NPI assigned 05/09/2023
$662K
Total Medicaid Paid
Provider Details
| Authorized Official | STINNETT, GWENN (BILLING MANAGER) |
| NPI Enumeration Date | 05/09/2023 |
Related Entities
Other providers sharing the same authorized official: STINNETT, GWENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,792 |
$157K |
| 2024 |
8,362 |
$505K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,046 |
2,012 |
$239K |
| 92060 |
|
3,484 |
3,404 |
$172K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,636 |
1,543 |
$112K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
587 |
570 |
$55K |
| 92250 |
|
641 |
630 |
$42K |
| 92015 |
Determination of refractive state |
2,610 |
2,562 |
$40K |
| 92285 |
|
150 |
144 |
$2K |