SPORTS VISION SPECIALISTS LLC
NPI: 1700250628
· TERRE HAUTE, IN 47807
· 152WS0006X
$358K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
498 |
$26K |
| 2020 |
2,750 |
$162K |
| 2021 |
2,314 |
$100K |
| 2022 |
967 |
$35K |
| 2023 |
1,533 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
3,398 |
805 |
$143K |
| 97530 |
|
1,205 |
216 |
$92K |
| 99214 |
|
610 |
358 |
$47K |
| 92065 |
|
1,275 |
279 |
$35K |
| V2020 |
Vision svcs frames purchases |
906 |
607 |
$27K |
| V2100 |
Lens spher single plano 4.00 |
153 |
96 |
$3K |
| 92004 |
|
26 |
26 |
$3K |
| 92015 |
|
220 |
206 |
$3K |
| V2755 |
Uv lens/es |
209 |
112 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
60 |
30 |
$1K |