SOUTHSIDE SENIOR CARE LLC
NPI: 1497927115
· JOHNSON CITY, TN 37604
· Optometrist
· NPI assigned 04/02/2008
Provider Details
| Authorized Official | COX, SAMUEL (OWNER) |
| NPI Enumeration Date | 04/02/2008 |
Related Entities
Other providers sharing the same authorized official: COX, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$10K |
| 2019 |
1,853 |
$15K |
| 2020 |
376 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,139 |
1,002 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,050 |
1,772 |
$15K |
| 92250 |
|
92 |
82 |
$484.22 |
| 92015 |
Determination of refractive state |
20 |
17 |
$32.78 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
15 |
$0.00 |
| 92341 |
|
19 |
16 |
$0.00 |
| V2020 |
Frames, purchases |
20 |
17 |
$0.00 |