MADRAS VISION SOURCE PC
NPI: 1164791414
· MADRAS, OR 97741
· 332H00000X
$610K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,317 |
$53K |
| 2019 |
1,489 |
$64K |
| 2020 |
1,052 |
$43K |
| 2021 |
1,354 |
$55K |
| 2022 |
1,720 |
$77K |
| 2023 |
3,122 |
$154K |
| 2024 |
3,178 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,250 |
2,193 |
$174K |
| 92340 |
|
2,423 |
2,360 |
$154K |
| 92004 |
|
1,496 |
1,458 |
$136K |
| V2025 |
Eyeglasses delux frames |
1,104 |
1,077 |
$54K |
| 92015 |
|
3,605 |
3,517 |
$44K |
| V2784 |
Lens polycarb or equal |
1,064 |
1,033 |
$20K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
562 |
551 |
$10K |
| 99213 |
|
196 |
184 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
191 |
189 |
$3K |
| 92250 |
|
166 |
164 |
$3K |
| 99214 |
|
17 |
16 |
$2K |
| 92341 |
|
59 |
54 |
$1K |
| T1013 |
Sign lang/oral interpreter |
17 |
16 |
$989.38 |
| 92083 |
|
12 |
12 |
$278.34 |
| 92133 |
|
12 |
12 |
$190.26 |
| V2760 |
Scratch resistant coating |
41 |
41 |
$12.82 |
| S9986 |
Not medically necessary svc |
17 |
17 |
$0.00 |