FULTON EYECARE CENTER PLLC
NPI: 1255353223
· CHICKASHA, OK 73018
· 152W00000X
$558K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,919 |
$123K |
| 2019 |
2,934 |
$83K |
| 2020 |
2,891 |
$84K |
| 2021 |
2,262 |
$63K |
| 2022 |
1,931 |
$62K |
| 2023 |
2,986 |
$93K |
| 2024 |
1,590 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
|
2,114 |
2,108 |
$163K |
| 92015 |
|
4,792 |
4,771 |
$85K |
| 92340 |
|
2,481 |
2,463 |
$75K |
| 92002 |
|
1,008 |
1,007 |
$73K |
| 92014 |
|
432 |
432 |
$46K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,686 |
1,673 |
$42K |
| V2020 |
Vision svcs frames purchases |
2,451 |
2,438 |
$25K |
| 92065 |
|
330 |
121 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
450 |
446 |
$12K |
| 92004 |
|
90 |
90 |
$11K |
| 99213 |
|
101 |
99 |
$6K |
| 92060 |
|
106 |
97 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
17 |
17 |
$390.60 |
| V2715 |
Prism lens/es |
12 |
12 |
$185.61 |
| V2784 |
Lens polycarb or equal |
2,443 |
2,425 |
$0.00 |