THE EYE DOCTOR AT ST. ROSE LLC
NPI: 1558996546
· HENDERSON, NV 89052
· 156FX1800X
$255K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$539.04 |
| 2022 |
496 |
$24K |
| 2023 |
2,511 |
$125K |
| 2024 |
1,997 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,885 |
1,883 |
$153K |
| 92004 |
|
499 |
499 |
$30K |
| V2100 |
Lens spher single plano 4.00 |
800 |
799 |
$27K |
| 92340 |
|
667 |
664 |
$20K |
| 92015 |
|
586 |
586 |
$9K |
| V2410 |
Lens variab asphericity sing |
135 |
135 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
388 |
388 |
$5K |
| V2200 |
Lens spher bifoc plano 4.00d |
36 |
36 |
$2K |
| V2784 |
Lens polycarb or equal |
25 |
25 |
$850.00 |
| 92014 |
|
13 |
13 |
$780.00 |