SOUTHERN SKY VISION CENTER
NPI: 1306194519
· TEXARKANA, TX 75503
· 261Q00000X
$556K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
464 |
$13K |
| 2019 |
483 |
$14K |
| 2020 |
1,539 |
$63K |
| 2021 |
5,192 |
$211K |
| 2022 |
4,542 |
$160K |
| 2023 |
1,841 |
$67K |
| 2024 |
709 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
2,402 |
2,388 |
$137K |
| 92014 |
|
1,404 |
1,390 |
$112K |
| S0621 |
Routine ophthalmological exa |
2,169 |
2,138 |
$92K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,638 |
2,594 |
$53K |
| 92004 |
|
487 |
479 |
$46K |
| S0620 |
Routine ophthalmological exa |
941 |
932 |
$40K |
| 92015 |
|
2,564 |
2,534 |
$37K |
| V2020 |
Vision svcs frames purchases |
1,738 |
1,705 |
$27K |
| 92340 |
|
259 |
259 |
$8K |
| 92250 |
|
43 |
42 |
$2K |
| 99214 |
|
32 |
27 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
39 |
39 |
$689.08 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$674.88 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
30 |
30 |
$618.17 |
| V2200 |
Lens spher bifoc plano 4.00d |
12 |
12 |
$614.16 |