HERO VISION OF UTICA, LLC
NPI: 1184184129
· TULSA, OK 74104
· 152W00000X
$2.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,752 |
$139K |
| 2022 |
25,471 |
$909K |
| 2023 |
24,246 |
$856K |
| 2024 |
18,406 |
$673K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
7,456 |
7,456 |
$826K |
| 92004 |
|
5,895 |
5,895 |
$777K |
| 92340 |
|
10,589 |
10,543 |
$321K |
| 92015 |
|
13,504 |
13,504 |
$238K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
8,718 |
8,674 |
$215K |
| V2020 |
Vision svcs frames purchases |
10,643 |
10,598 |
$106K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
1,773 |
1,752 |
$37K |
| V2100 |
Lens spher single plano 4.00 |
1,802 |
1,799 |
$34K |
| 99213 |
|
226 |
224 |
$18K |
| V2107 |
Spherocylinder 4.25d/12-2d |
135 |
134 |
$4K |
| 92012 |
|
24 |
24 |
$2K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
14 |
14 |
$265.05 |
| V2784 |
Lens polycarb or equal |
11,096 |
11,036 |
$0.00 |