GUSTAFSON, TERRY
NPI: 1932197407
· SPANAWAY, WA 98387
· Optometrist
· NPI assigned 10/10/2005
$309K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,868 |
$67K |
| 2019 |
1,715 |
$59K |
| 2020 |
1,281 |
$45K |
| 2021 |
1,764 |
$65K |
| 2022 |
1,366 |
$53K |
| 2023 |
901 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,019 |
2,010 |
$153K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,118 |
1,112 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,817 |
1,781 |
$34K |
| 92015 |
Determination of refractive state |
3,140 |
3,121 |
$32K |
| 92341 |
|
801 |
781 |
$18K |