Supplier
Idabel Teg LLC
Idabel Teg LLC was paid $1K by Medicaid between Jul 2023 and Jul 2024, across 3 billing codes. Its largest line is V2020, Frames, purchases — 61% of everything it billed.
33Billing provider infoIDABEL TEG LLC
IDABEL, OK 74745
IDABEL, OK 74745
33aNPI1104533009assigned 10/31/2022
33bProvider typeEyewear Supplier
28Total paid$1K
24GClaims196
24DCodes billed3
24AFirst – last monthJul 2023 – Jul 2024
Compared with peers
Next to other Eyewear Supplier providers in Oklahoma
Rank by total paid#39 of 43
Median peer was paid$100K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2023 | 119 | $988.00 | |
| 2024incomplete | 77 | $440.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 61% | 87 | 87 | $870.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 39% | 25 | 25 | $558.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 84 | 84 | $0.00 |
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 officialGRASSIE, KAYLA (BILLING)
| Provider | Location | Paid |
|---|---|---|
| Idabel PV LLC | Idabel, OK | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.