NYC OPTICAL GROUP LLC
NPI: 1922616499
· BROOKLYN, NY 11209
· Optometrist
· NPI assigned 07/21/2020
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | GAN, ANDREY (OWNER) |
| NPI Enumeration Date | 07/21/2020 |
Related Entities
Other providers sharing the same authorized official: GAN, ANDREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
296 |
$9K |
| 2022 |
654 |
$20K |
| 2023 |
1,268 |
$44K |
| 2024 |
1,088 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
576 |
572 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
298 |
298 |
$21K |
| 92083 |
|
410 |
407 |
$15K |
| 92285 |
|
473 |
469 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
531 |
264 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
217 |
214 |
$10K |
| 76512 |
|
153 |
82 |
$9K |
| V2020 |
Frames, purchases |
324 |
321 |
$5K |
| 92015 |
Determination of refractive state |
324 |
323 |
$0.00 |