ONE HOUR OPTICAL MEDICAL SERVICES, PC
NPI: 1972172609
· THORNTON, CO 80233
· 152W00000X
$434K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,349 |
$79K |
| 2022 |
3,754 |
$141K |
| 2023 |
3,384 |
$148K |
| 2024 |
2,006 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,265 |
1,189 |
$118K |
| 92004 |
|
602 |
567 |
$62K |
| V2020 |
Vision svcs frames purchases |
1,319 |
1,270 |
$53K |
| V2410 |
Lens variab asphericity sing |
642 |
632 |
$53K |
| V2784 |
Lens polycarb or equal |
1,407 |
1,360 |
$35K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
657 |
634 |
$28K |
| V2750 |
Anti-reflective coating |
1,111 |
1,071 |
$28K |
| V2781 |
Progressive lens per lens |
292 |
277 |
$26K |
| 92340 |
|
1,555 |
1,492 |
$26K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
39 |
39 |
$2K |
| V2744 |
Tint photochromatic lens/es |
101 |
97 |
$2K |
| 92015 |
|
2,491 |
2,316 |
$1K |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$815.54 |