PORT CHESTER EYECARE INC
NPI: 1912166885
· PORT CHESTER, NY 10573
· 152W00000X
$842K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,259 |
$130K |
| 2019 |
4,755 |
$148K |
| 2020 |
2,206 |
$55K |
| 2021 |
3,102 |
$93K |
| 2022 |
4,015 |
$135K |
| 2023 |
5,696 |
$182K |
| 2024 |
3,066 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
4,033 |
3,932 |
$134K |
| S0580 |
Polycarb lens |
3,530 |
3,436 |
$101K |
| V2744 |
Tint photochromatic lens/es |
3,476 |
3,378 |
$84K |
| 99204 |
|
901 |
886 |
$78K |
| 92370 |
|
3,380 |
3,313 |
$59K |
| 92340 |
|
2,594 |
2,525 |
$55K |
| V2730 |
Special base curve |
3,475 |
3,379 |
$55K |
| V2111 |
Spherocylindr 7.25d/.25-2.25 |
714 |
706 |
$47K |
| 92015 |
|
1,166 |
927 |
$43K |
| V2220 |
Lens bifocal add over 3.25d |
637 |
625 |
$41K |
| 92310 |
|
854 |
677 |
$38K |
| 99214 |
|
196 |
193 |
$25K |
| V2521 |
Cntct lens hydrophilic toric |
148 |
145 |
$21K |
| 92250 |
|
334 |
329 |
$13K |
| 92341 |
|
486 |
475 |
$11K |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
175 |
174 |
$8K |
| 92283 |
|
288 |
285 |
$6K |
| V2205 |
Lens sphcy bifocal 4.00d/4.2 |
94 |
89 |
$6K |
| V2780 |
Oversize lens/es |
390 |
324 |
$5K |
| 92312 |
|
90 |
55 |
$5K |
| 92004 |
|
25 |
25 |
$3K |
| 92265 |
|
57 |
56 |
$2K |
| 92014 |
|
12 |
12 |
$1K |
| 92326 |
|
44 |
41 |
$1K |