MYEYEDR OPTOMETRY OF TENNESSEE LLC
NPI: 1134696677
· JACKSON, TN 38305
· 152W00000X
$1.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,749 |
$66K |
| 2020 |
5,242 |
$111K |
| 2021 |
10,868 |
$154K |
| 2022 |
12,236 |
$205K |
| 2023 |
11,943 |
$288K |
| 2024 |
8,479 |
$195K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
5,978 |
5,251 |
$251K |
| V2784 |
Lens polycarb or equal |
8,811 |
7,584 |
$172K |
| 92015 |
|
7,678 |
6,762 |
$162K |
| 92250 |
|
6,732 |
6,184 |
$128K |
| 92340 |
|
5,243 |
4,293 |
$100K |
| 92004 |
|
1,630 |
1,455 |
$78K |
| V2020 |
Vision svcs frames purchases |
8,703 |
7,499 |
$65K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,087 |
2,928 |
$41K |
| V2100 |
Lens spher single plano 4.00 |
3,652 |
3,016 |
$20K |
| S9986 |
Not medically necessary svc |
686 |
658 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$70.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
16 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating |
289 |
191 |
$0.00 |