GRACIE CHASE AVERY, LLC
NPI: 1003320607
· JOPLIN, MO 64804
· 152W00000X
$1.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,915 |
$40K |
| 2021 |
5,914 |
$110K |
| 2022 |
7,778 |
$228K |
| 2023 |
9,488 |
$356K |
| 2024 |
9,951 |
$327K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
4,726 |
4,622 |
$379K |
| V2020 |
Vision svcs frames purchases |
6,256 |
6,109 |
$210K |
| 92014 |
|
2,931 |
2,873 |
$192K |
| V2784 |
Lens polycarb or equal |
4,662 |
3,297 |
$141K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
4,438 |
2,594 |
$56K |
| 92015 |
|
8,019 |
7,823 |
$37K |
| V2100 |
Lens spher single plano 4.00 |
2,872 |
1,920 |
$34K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
168 |
92 |
$4K |
| 92340 |
|
501 |
488 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
174 |
108 |
$2K |
| 92370 |
|
237 |
235 |
$1K |
| V2200 |
Lens spher bifoc plano 4.00d |
44 |
25 |
$1K |
| 92002 |
|
18 |
18 |
$569.36 |