LEWIS COUNTY VISION SOURCE PC
NPI: 1356710933
· CENTRALIA, WA 98531
· 152W00000X
$111K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,294 |
$45K |
| 2019 |
1,708 |
$59K |
| 2020 |
207 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
597 |
593 |
$47K |
| 92014 |
|
407 |
401 |
$28K |
| 92340 |
|
969 |
905 |
$19K |
| 92015 |
|
1,108 |
1,099 |
$12K |
| 99213 |
|
128 |
115 |
$5K |