HUBERTINA J M HAGEN OD INC PC
NPI: 1073644720
· SAPULPA, OK 74066
· 152W00000X
$346K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,840 |
$47K |
| 2019 |
1,953 |
$51K |
| 2020 |
1,724 |
$53K |
| 2021 |
1,848 |
$60K |
| 2022 |
1,428 |
$43K |
| 2023 |
1,702 |
$54K |
| 2024 |
1,229 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
673 |
673 |
$87K |
| 92014 |
|
744 |
744 |
$82K |
| 92340 |
|
1,967 |
1,966 |
$60K |
| 92015 |
|
2,812 |
2,812 |
$50K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,164 |
1,162 |
$28K |
| V2020 |
Vision svcs frames purchases |
2,049 |
2,048 |
$21K |
| 92012 |
|
238 |
238 |
$17K |
| 92002 |
|
13 |
13 |
$858.00 |
| V2100 |
Lens spher single plano 4.00 |
37 |
37 |
$683.55 |
| V2784 |
Lens polycarb or equal |
2,027 |
2,025 |
$0.00 |