PROVISION EYE CARE, LLC
NPI: 1306379003
· GLEN ALLEN, VA 23060
· 152WC0802X
$676K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$1K |
| 2019 |
891 |
$40K |
| 2020 |
952 |
$41K |
| 2021 |
1,364 |
$59K |
| 2022 |
2,345 |
$121K |
| 2023 |
4,557 |
$218K |
| 2024 |
3,846 |
$195K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
2,963 |
2,947 |
$212K |
| V2020 |
Vision svcs frames purchases |
3,691 |
3,688 |
$175K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,117 |
2,114 |
$112K |
| 92014 |
|
1,196 |
1,191 |
$71K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
526 |
526 |
$52K |
| 92015 |
|
1,650 |
1,637 |
$16K |
| V2784 |
Lens polycarb or equal |
919 |
919 |
$15K |
| V2025 |
Eyeglasses delux frames |
144 |
144 |
$8K |
| 92340 |
|
500 |
500 |
$6K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
79 |
79 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
125 |
125 |
$3K |
| 92310 |
|
12 |
12 |
$996.00 |
| V2750 |
Anti-reflective coating |
24 |
24 |
$795.00 |
| V2107 |
Spherocylinder 4.25d/12-2d |
13 |
13 |
$608.00 |
| 92341 |
|
13 |
12 |
$201.40 |
| V2781 |
Progressive lens per lens |
12 |
12 |
$175.00 |