JACKSONVILLE VISION DEVELOPMENT CENTER PA
NPI: 1336782846
· JACKSONVILLE, AR 72076
· Optometrist
· NPI assigned 10/28/2019
$165K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
668 |
$29K |
| 2021 |
968 |
$40K |
| 2022 |
856 |
$39K |
| 2023 |
877 |
$40K |
| 2024 |
404 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92065 |
|
2,283 |
928 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
805 |
790 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
310 |
309 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
169 |
168 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
115 |
$4K |
| 92066 |
|
87 |
38 |
$2K |