TAHLEQUAH FAMILY VISION CLINIC, PLLC
NPI: 1033313754
· TAHLEQUAH, OK 74464
· 152W00000X
$824K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,799 |
$149K |
| 2019 |
3,010 |
$125K |
| 2020 |
2,386 |
$99K |
| 2021 |
2,599 |
$110K |
| 2022 |
2,767 |
$120K |
| 2023 |
3,183 |
$133K |
| 2024 |
2,060 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,144 |
3,144 |
$334K |
| 92004 |
|
1,651 |
1,651 |
$212K |
| 92015 |
|
5,100 |
5,082 |
$90K |
| 92340 |
|
1,528 |
1,527 |
$46K |
| V2020 |
Vision svcs frames purchases |
3,897 |
3,891 |
$39K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,414 |
1,409 |
$36K |
| 92250 |
|
1,157 |
1,157 |
$36K |
| V2100 |
Lens spher single plano 4.00 |
1,850 |
1,846 |
$30K |
| 99213 |
|
38 |
27 |
$2K |
| 99214 |
|
12 |
12 |
$834.56 |
| V2784 |
Lens polycarb or equal |
13 |
13 |
$0.00 |