MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1104312552
· SOUTH BEND, IN 46614
· 152W00000X
$1.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
212 |
$2K |
| 2019 |
1,027 |
$38K |
| 2020 |
3,653 |
$146K |
| 2021 |
7,258 |
$317K |
| 2022 |
5,238 |
$214K |
| 2023 |
5,273 |
$226K |
| 2024 |
4,872 |
$301K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
3,586 |
3,074 |
$359K |
| 92014 |
|
4,188 |
3,526 |
$338K |
| V2020 |
Vision svcs frames purchases |
7,252 |
6,994 |
$223K |
| V2100 |
Lens spher single plano 4.00 |
4,970 |
4,541 |
$199K |
| 92015 |
|
6,196 |
5,818 |
$88K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
672 |
636 |
$29K |
| V2200 |
Lens spher bifoc plano 4.00d |
78 |
70 |
$4K |
| V2784 |
Lens polycarb or equal |
259 |
253 |
$3K |
| V2750 |
Anti-reflective coating |
261 |
257 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
20 |
17 |
$1K |
| G8785 |
Bp scrn no perf at interval |
51 |
51 |
$0.00 |