VISION CARE CLINIC, P.C.
NPI: 1023426533
· SIOUX CITY, IA 51104
· 152W00000X
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
65 |
$2K |
| 2019 |
123 |
$5K |
| 2020 |
12 |
$377.28 |
| 2021 |
40 |
$1K |
| 2022 |
193 |
$6K |
| 2023 |
1,070 |
$27K |
| 2024 |
2,391 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
631 |
569 |
$35K |
| 92004 |
|
394 |
338 |
$28K |
| V2020 |
Vision svcs frames purchases |
826 |
695 |
$17K |
| 92015 |
|
996 |
870 |
$11K |
| 92250 |
|
184 |
158 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
95 |
84 |
$2K |
| V2756 |
Eye glass case |
725 |
611 |
$550.11 |
| V2784 |
Lens polycarb or equal |
30 |
27 |
$293.76 |
| 92370 |
|
13 |
13 |
$195.00 |