Success Vision Express of Sand Springs, LLC
Success Vision Express of Sand Springs, LLC was paid $1.52M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoSUCCESS VISION EXPRESS OF SAND SPRINGS, LLC
SAND SPRINGS, OK 74063
SAND SPRINGS, OK 74063
33aNPI1346424637assigned 12/21/2007
33bProvider typeOptometrist
28Total paid$1.52M
24GClaims29,009
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#14 of 336
Median peer was paid$113K
This provider vs. median14×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 2,965 | $166K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 4,254 | 4,143 | $386K |
| 92082 | 15% | 6,105 | 6,094 | $225K | |
| 92250 | 15% | 6,074 | 6,071 | $224K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 1,150 | 1,150 | $157K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.9% | 1,427 | 1,426 | $151K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.4% | 1,006 | 1,006 | $127K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 1,243 | 1,243 | $110K |
| 92015 | Determination of refractive state | 6.5% | 6,746 | 6,742 | $99K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.0% | 226 | 204 | $15K |
| 92275 | <1% | 87 | 86 | $10K | |
| 65778 | <1% | 22 | 14 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 96 | 96 | $6K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDAVYDOVA, ROSE (AUTHORIZED OFFICIAL)
Parent organizationSUCCESS VISION EXPRESS
| Provider | Location | Paid |
|---|---|---|
| Success Vision Express of Tulsa, LLC | Tulsa, OK | $3.15M |
| Success Vision Eyecare of Cape, LLC | Cape Girardeau, MO | $138K |
| Sve Management of Manhattan, LLC | Manhattan, KS | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.