JACKSONVILLE VISION CENTER, O.D.,PLLC
NPI: 1578867057
· JACKSONVILLE, NC 28546
· Optometrist
· NPI assigned 12/27/2010
Deactivated NPI
· This NPI was deactivated on 01/20/2011. Reactivated 02/02/2011.
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | TAYLOR, TRACY (INSURANCE SPECIALIST) |
| NPI Enumeration Date | 12/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
605 |
$18K |
| 2019 |
1,073 |
$39K |
| 2020 |
664 |
$23K |
| 2021 |
510 |
$19K |
| 2022 |
55 |
$724.65 |
| 2023 |
74 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
495 |
459 |
$37K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
407 |
375 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
945 |
920 |
$19K |
| 92370 |
|
1,098 |
1,067 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
35 |
$1K |