EYE CENTERS OF TENNESSEE, LLC
NPI: 1689221970
· SPARTA, TN 38583
· 207W00000X
$203K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$197.87 |
| 2020 |
213 |
$4K |
| 2021 |
804 |
$22K |
| 2022 |
1,701 |
$46K |
| 2023 |
2,754 |
$74K |
| 2024 |
1,895 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,411 |
1,279 |
$65K |
| 92015 |
|
2,225 |
2,026 |
$42K |
| 92004 |
|
495 |
457 |
$30K |
| 92340 |
|
1,006 |
984 |
$30K |
| V2784 |
Lens polycarb or equal |
738 |
384 |
$22K |
| V2020 |
Vision svcs frames purchases |
606 |
586 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
703 |
355 |
$7K |
| 92250 |
|
48 |
41 |
$535.97 |
| 99213 |
|
15 |
13 |
$378.77 |
| 2033F |
|
135 |
134 |
$0.00 |