SEIBERT MOBILE OPTOMETRY LLC
NPI: 1679017362
· JEFFERSON CITY, MO 65101
· 152W00000X
$447K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
268 |
$4K |
| 2019 |
833 |
$13K |
| 2020 |
157 |
$5K |
| 2021 |
404 |
$9K |
| 2022 |
2,161 |
$8K |
| 2023 |
7,155 |
$170K |
| 2024 |
8,349 |
$238K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
3,763 |
3,605 |
$126K |
| 92014 |
|
3,728 |
3,589 |
$90K |
| 92273 |
|
1,747 |
1,636 |
$62K |
| 99309 |
|
2,050 |
2,043 |
$61K |
| V2020 |
Vision svcs frames purchases |
1,996 |
1,870 |
$38K |
| 99307 |
|
1,716 |
1,637 |
$23K |
| 92250 |
|
1,493 |
1,482 |
$21K |
| 65778 |
|
102 |
85 |
$9K |
| 99308 |
|
318 |
316 |
$7K |
| 92012 |
|
589 |
560 |
$5K |
| 92002 |
|
18 |
18 |
$601.60 |
| 76514 |
|
128 |
128 |
$592.06 |
| 92133 |
|
82 |
76 |
$530.31 |
| 92015 |
|
91 |
89 |
$417.08 |
| 92285 |
|
15 |
15 |
$150.44 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
1,239 |
1,117 |
$46.84 |
| 92341 |
|
132 |
130 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
56 |
56 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
64 |
64 |
$0.00 |