FREDERICKTOWN VISION CENTER INC
NPI: 1144368432
· FREDERICKTOWN, MO 63645
· 152W00000X
$354K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
343 |
$3K |
| 2019 |
376 |
$4K |
| 2020 |
1,321 |
$20K |
| 2021 |
2,148 |
$31K |
| 2022 |
2,964 |
$81K |
| 2023 |
2,681 |
$98K |
| 2024 |
3,218 |
$117K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,054 |
2,957 |
$100K |
| 92004 |
|
675 |
629 |
$62K |
| 92012 |
|
1,297 |
1,225 |
$59K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,394 |
793 |
$33K |
| V2784 |
Lens polycarb or equal |
1,189 |
716 |
$28K |
| 92014 |
|
311 |
311 |
$25K |
| V2100 |
Lens spher single plano 4.00 |
1,271 |
1,102 |
$21K |
| 92015 |
|
3,642 |
3,308 |
$16K |
| 92002 |
|
140 |
140 |
$7K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
63 |
39 |
$2K |
| V2200 |
Lens spher bifoc plano 4.00d |
15 |
14 |
$437.05 |