LIFETIME VISION SOURCE OF LEBANON LLC
NPI: 1710168877
· LEBANON, OR 97355
· 152W00000X
$460K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,017 |
$41K |
| 2019 |
2,191 |
$79K |
| 2020 |
1,443 |
$50K |
| 2021 |
2,426 |
$57K |
| 2022 |
2,534 |
$37K |
| 2023 |
1,823 |
$93K |
| 2024 |
1,596 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
1,961 |
1,910 |
$127K |
| 92014 |
|
1,746 |
1,581 |
$118K |
| 92004 |
|
1,304 |
954 |
$106K |
| 92015 |
|
5,573 |
4,324 |
$88K |
| V2020 |
Vision svcs frames purchases |
830 |
812 |
$6K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
779 |
760 |
$5K |
| V2784 |
Lens polycarb or equal |
727 |
713 |
$5K |
| 99214 |
|
59 |
53 |
$3K |
| 99213 |
|
51 |
39 |
$3K |