Sidney Vision Clinic LLC
Sidney Vision Clinic LLC was paid $14K by Medicaid between Jan 2018 and Oct 2019, across 7 billing codes. Its largest line is 92250, — 68% of everything it billed.
33Billing provider infoSIDNEY VISION CLINIC LLC
SIDNEY, NE 69162
SIDNEY, NE 69162
33aNPI1073739470assigned 04/17/2007
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$14K
24GClaims358
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2019
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 250 | $10K | |
| 2019 | 108 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 68% | 224 | 216 | $9K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 26 | 26 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.7% | 14 | 14 | $1K |
| V2020 | Frames, purchases | 6.8% | 26 | 26 | $925.94 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.9% | 13 | 13 | $532.07 |
| 92015 | Determination of refractive state | 1.6% | 16 | 15 | $213.20 |
| V2756 | Eye glass case | <1% | 39 | 39 | $43.29 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOOK, JEFFREY (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Cook Eye Center | Meridian, MS | $99K |
| Cook Chiropractic INC | Kannapolis, NC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.