BROOK RUN VISION CENTER
NPI: 1235344045
· MECHANICSVILLE, VA 23116
· 152W00000X
$702K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,590 |
$148K |
| 2019 |
5,492 |
$256K |
| 2020 |
3,604 |
$162K |
| 2021 |
3,195 |
$131K |
| 2022 |
65 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
3,159 |
3,092 |
$208K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,687 |
2,514 |
$152K |
| 92014 |
|
2,642 |
2,590 |
$136K |
| V2020 |
Vision svcs frames purchases |
3,554 |
3,517 |
$101K |
| V2100 |
Lens spher single plano 4.00 |
904 |
874 |
$42K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
238 |
237 |
$21K |
| 92015 |
|
1,393 |
1,321 |
$15K |
| 92340 |
|
319 |
314 |
$9K |
| V2025 |
Eyeglasses delux frames |
274 |
266 |
$8K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
54 |
54 |
$3K |
| S0620 |
Routine ophthalmological exa |
40 |
40 |
$2K |
| S0621 |
Routine ophthalmological exa |
39 |
39 |
$2K |
| 99213 |
|
31 |
25 |
$2K |
| 92012 |
|
18 |
12 |
$559.20 |
| V2784 |
Lens polycarb or equal |
284 |
282 |
$377.00 |
| V2760 |
Scratch resistant coating |
12 |
12 |
$124.00 |
| 99199 |
|
104 |
103 |
$0.00 |
| 2024F |
|
180 |
174 |
$0.00 |
| 2026F |
|
14 |
13 |
$0.00 |