VISION SOURCE OF HUGO, INC.
NPI: 1134249683
· HUGO, OK 74743
· 152W00000X
$716K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,748 |
$117K |
| 2019 |
3,679 |
$116K |
| 2020 |
3,227 |
$110K |
| 2021 |
3,073 |
$108K |
| 2022 |
3,324 |
$120K |
| 2023 |
2,850 |
$101K |
| 2024 |
1,261 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,854 |
2,853 |
$288K |
| 92004 |
|
1,304 |
1,304 |
$157K |
| 92340 |
|
3,090 |
3,076 |
$92K |
| 92015 |
|
3,855 |
3,854 |
$68K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,169 |
2,162 |
$51K |
| V2020 |
Vision svcs frames purchases |
3,349 |
3,341 |
$33K |
| V2100 |
Lens spher single plano 4.00 |
1,089 |
1,087 |
$24K |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$2K |
| 99212 |
|
49 |
48 |
$498.58 |
| V2784 |
Lens polycarb or equal |
3,390 |
3,381 |
$0.00 |