INDIGO VISION CENTER PA
NPI: 1700071149
· GEORGETOWN, SC 29440
· 152W00000X
$1.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,880 |
$172K |
| 2019 |
5,570 |
$167K |
| 2020 |
5,552 |
$170K |
| 2021 |
6,186 |
$175K |
| 2022 |
7,186 |
$230K |
| 2023 |
5,726 |
$199K |
| 2024 |
4,804 |
$167K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
6,670 |
6,568 |
$468K |
| 92004 |
|
3,572 |
3,493 |
$289K |
| 92340 |
|
8,753 |
8,612 |
$154K |
| 92015 |
|
10,085 |
9,920 |
$141K |
| 92250 |
|
2,558 |
2,439 |
$74K |
| V2784 |
Lens polycarb or equal |
2,458 |
2,444 |
$45K |
| 99214 |
|
876 |
766 |
$42K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,137 |
1,428 |
$23K |
| 99213 |
|
445 |
394 |
$18K |
| V2020 |
Vision svcs frames purchases |
285 |
282 |
$10K |
| 92083 |
|
204 |
173 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
615 |
418 |
$4K |
| 92012 |
|
81 |
65 |
$4K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
105 |
71 |
$892.22 |
| G8427 |
Docrev cur meds by elig clin |
492 |
479 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
568 |
544 |
$0.00 |