CUSTOM EYES VISION CARE OF NEWPORT, INC
NPI: 1598937328
· NEWPORT, AR 72112
· 152W00000X
$748K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,193 |
$85K |
| 2019 |
3,767 |
$94K |
| 2020 |
2,082 |
$83K |
| 2021 |
2,193 |
$86K |
| 2022 |
3,949 |
$134K |
| 2023 |
4,220 |
$144K |
| 2024 |
3,207 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
4,102 |
3,623 |
$177K |
| 92014 |
|
3,205 |
2,819 |
$149K |
| 92015 |
|
4,727 |
4,144 |
$126K |
| 92083 |
|
3,113 |
2,689 |
$92K |
| 92004 |
|
935 |
866 |
$61K |
| 92250 |
|
1,349 |
1,089 |
$37K |
| 92020 |
|
1,511 |
1,322 |
$25K |
| 92202 |
|
766 |
701 |
$23K |
| 92133 |
|
597 |
533 |
$21K |
| 92273 |
|
87 |
73 |
$10K |
| 92226 |
|
271 |
116 |
$7K |
| 95930 |
|
152 |
136 |
$5K |
| 92275 |
|
54 |
44 |
$5K |
| 99214 |
|
89 |
56 |
$3K |
| S0620 |
Routine ophthalmological exa |
35 |
33 |
$2K |
| 0509T |
|
44 |
24 |
$2K |
| S0621 |
Routine ophthalmological exa |
27 |
26 |
$1K |
| 92132 |
|
26 |
25 |
$996.60 |
| 92012 |
|
28 |
28 |
$987.01 |
| 99213 |
|
13 |
13 |
$430.78 |
| 92370 |
|
13 |
13 |
$414.12 |
| 76514 |
|
52 |
39 |
$254.95 |
| V2784 |
Lens polycarb or equal |
12 |
12 |
$66.00 |
| G8756 |
No bp measure doc |
138 |
132 |
$0.15 |
| G8427 |
Docrev cur meds by elig clin |
147 |
139 |
$0.14 |
| G9903 |
Pt scrn tbco id as non user |
58 |
56 |
$0.03 |
| 1036F |
|
60 |
57 |
$0.03 |