TRI-STATE EYE CARE CENTER, LTD.
NPI: 1003000217
· HUNTINGTON, WV 25701
· 152W00000X
$525K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,123 |
$86K |
| 2019 |
754 |
$26K |
| 2020 |
1,037 |
$40K |
| 2021 |
1,549 |
$68K |
| 2022 |
2,052 |
$98K |
| 2023 |
2,180 |
$108K |
| 2024 |
2,035 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,265 |
2,082 |
$138K |
| 92004 |
|
1,236 |
1,141 |
$112K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,041 |
1,797 |
$88K |
| 92014 |
|
1,071 |
1,001 |
$82K |
| S0580 |
Polycarb lens |
2,127 |
2,008 |
$60K |
| 92015 |
|
2,809 |
2,613 |
$44K |
| 92081 |
|
181 |
150 |
$2K |