PHILADELPHIA VISION CENTER OF ERIE AVE INC
NPI: 1235378688
· PHILADELPHIA, PA 19140
· 332H00000X
$1.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,021 |
$25K |
| 2020 |
2,961 |
$73K |
| 2021 |
7,382 |
$196K |
| 2022 |
9,388 |
$261K |
| 2023 |
9,038 |
$257K |
| 2024 |
9,101 |
$261K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
14,202 |
4,599 |
$389K |
| V2020 |
Vision svcs frames purchases |
8,147 |
5,501 |
$343K |
| 92014 |
|
6,102 |
5,917 |
$263K |
| 92004 |
|
1,128 |
1,122 |
$48K |
| V2200 |
Lens spher bifoc plano 4.00d |
430 |
212 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
222 |
63 |
$6K |
| V2784 |
Lens polycarb or equal |
8,612 |
2,577 |
$5K |
| V2299 |
Lens bifocal speciality |
24 |
12 |
$846.68 |
| V2781 |
Progressive lens per lens |
24 |
12 |
$700.00 |