MY FAMILY VISION CLINIC LLC
NPI: 1043608722
· MC COOK, NE 69001
· 152W00000X
$352K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,314 |
$28K |
| 2019 |
1,021 |
$24K |
| 2020 |
930 |
$21K |
| 2021 |
2,615 |
$58K |
| 2022 |
2,700 |
$74K |
| 2023 |
2,603 |
$75K |
| 2024 |
2,314 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
2,058 |
1,948 |
$83K |
| 92015 |
|
4,701 |
4,189 |
$70K |
| 92014 |
|
1,000 |
900 |
$52K |
| V2020 |
Vision svcs frames purchases |
1,374 |
1,284 |
$37K |
| 92002 |
|
851 |
811 |
$36K |
| 92004 |
|
396 |
365 |
$28K |
| 92012 |
|
395 |
381 |
$14K |
| 92250 |
|
271 |
203 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
602 |
385 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
343 |
206 |
$6K |
| V2784 |
Lens polycarb or equal |
213 |
194 |
$2K |
| V2756 |
Eye glass case |
1,293 |
1,211 |
$1K |