MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1588150908
· TERRE HAUTE, IN 47807
· 152W00000X
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
361 |
$19K |
| 2022 |
859 |
$36K |
| 2023 |
1,285 |
$57K |
| 2024 |
1,086 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,087 |
896 |
$102K |
| V2020 |
Vision svcs frames purchases |
965 |
911 |
$29K |
| 92014 |
|
296 |
251 |
$23K |
| 92015 |
|
944 |
847 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
257 |
250 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
12 |
$760.07 |
| G8428 |
Cur meds not document |
14 |
12 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
15 |
13 |
$0.00 |