SUCCESS VISION EXPRESS OF SAND SPRINGS, LLC
NPI: 1346424637
· SAND SPRINGS, OK 74063
· 152W00000X
$1.52M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,346 |
$221K |
| 2019 |
4,196 |
$200K |
| 2020 |
3,289 |
$154K |
| 2021 |
5,380 |
$253K |
| 2022 |
4,261 |
$256K |
| 2023 |
4,572 |
$273K |
| 2024 |
2,965 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,254 |
4,143 |
$386K |
| 92082 |
|
6,105 |
6,094 |
$225K |
| 92250 |
|
6,074 |
6,071 |
$224K |
| 99204 |
|
1,150 |
1,150 |
$157K |
| 92014 |
|
1,427 |
1,426 |
$151K |
| 92004 |
|
1,006 |
1,006 |
$127K |
| 99203 |
|
1,243 |
1,243 |
$110K |
| 92015 |
|
6,746 |
6,742 |
$99K |
| 92012 |
|
226 |
204 |
$15K |
| 92275 |
|
87 |
86 |
$10K |
| 65778 |
|
22 |
14 |
$9K |
| 99213 |
|
96 |
96 |
$6K |
| 92002 |
|
53 |
53 |
$4K |
| 92133 |
|
12 |
12 |
$298.04 |
| 92083 |
|
12 |
12 |
$254.14 |
| 99072 |
|
496 |
481 |
$0.00 |