TRI-STATE OPTICAL, INC.
NPI: 1205822145
· FORT WAYNE, IN 46825
· 332H00000X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,020 |
$119K |
| 2019 |
4,432 |
$141K |
| 2020 |
3,394 |
$119K |
| 2021 |
3,576 |
$109K |
| 2022 |
6,186 |
$174K |
| 2023 |
8,019 |
$250K |
| 2024 |
6,894 |
$310K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
11,957 |
10,731 |
$432K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
6,791 |
6,123 |
$283K |
| V2755 |
Uv lens/es |
10,206 |
9,274 |
$174K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
1,880 |
1,683 |
$118K |
| V2730 |
Special base curve |
2,838 |
2,418 |
$78K |
| V2100 |
Lens spher single plano 4.00 |
1,540 |
1,354 |
$51K |
| V2784 |
Lens polycarb or equal |
971 |
796 |
$29K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
574 |
530 |
$25K |
| V2107 |
Spherocylinder 4.25d/12-2d |
539 |
460 |
$21K |
| V2200 |
Lens spher bifoc plano 4.00d |
213 |
162 |
$13K |
| V2744 |
Tint photochromatic lens/es |
12 |
12 |
$0.00 |