DR MATTHEW JOHANNES OD, LLC
NPI: 1508274960
· GARDEN CITY, KS 67846
· 152W00000X
$802K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
935 |
$27K |
| 2019 |
2,267 |
$86K |
| 2020 |
2,733 |
$104K |
| 2021 |
3,793 |
$141K |
| 2022 |
4,527 |
$170K |
| 2023 |
4,433 |
$169K |
| 2024 |
2,598 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens polycarb or equal |
3,305 |
3,209 |
$194K |
| 92014 |
|
2,919 |
2,794 |
$186K |
| V2020 |
Vision svcs frames purchases |
3,953 |
3,839 |
$172K |
| 92004 |
|
1,069 |
1,012 |
$94K |
| V2760 |
Scratch resistant coating |
2,701 |
2,616 |
$61K |
| 92012 |
|
629 |
613 |
$29K |
| 92015 |
|
5,233 |
4,990 |
$29K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
658 |
650 |
$25K |
| V2100 |
Lens spher single plano 4.00 |
140 |
135 |
$7K |
| V2782 |
Lens, 1.54-1.65 p/1.60-1.79g |
52 |
51 |
$4K |
| S0580 |
Polycarb lens |
76 |
70 |
$690.00 |
| 92370 |
|
88 |
86 |
$621.18 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$464.62 |
| 2023F |
|
451 |
450 |
$0.00 |