EVANGELINE OPTICAL INC.
NPI: 1962564351
· NEW IBERIA, LA 70563
· 332H00000X
$450K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,520 |
$129K |
| 2019 |
5,714 |
$92K |
| 2020 |
3,634 |
$58K |
| 2021 |
3,317 |
$55K |
| 2022 |
3,000 |
$46K |
| 2023 |
2,800 |
$32K |
| 2024 |
1,813 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
9,979 |
9,083 |
$166K |
| 99211 |
|
7,299 |
6,923 |
$93K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,821 |
4,338 |
$76K |
| V2100 |
Lens spher single plano 4.00 |
2,736 |
2,518 |
$40K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
814 |
731 |
$35K |
| 92340 |
|
940 |
736 |
$9K |
| V2200 |
Lens spher bifoc plano 4.00d |
232 |
219 |
$8K |
| V2025 |
Eyeglasses delux frames |
119 |
118 |
$8K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
390 |
355 |
$5K |
| V2107 |
Spherocylinder 4.25d/12-2d |
289 |
273 |
$5K |
| V2303 |
Lens sphcy trifocal 4.0/.12- |
56 |
53 |
$3K |
| S0580 |
Polycarb lens |
59 |
57 |
$1K |
| 92341 |
|
26 |
26 |
$321.36 |
| V2784 |
Lens polycarb or equal |
38 |
38 |
$63.60 |