ROOSEVELT VISION CLINIC, PC
NPI: 1710973052
· ROOSEVELT, UT 84066
· 152W00000X
$550K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,070 |
$38K |
| 2019 |
1,081 |
$40K |
| 2020 |
1,619 |
$75K |
| 2021 |
2,202 |
$107K |
| 2022 |
2,068 |
$94K |
| 2023 |
2,623 |
$107K |
| 2024 |
1,946 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,193 |
3,086 |
$314K |
| 92004 |
|
1,262 |
1,216 |
$145K |
| V2020 |
Vision svcs frames purchases |
998 |
969 |
$49K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
762 |
677 |
$16K |
| 92015 |
|
5,685 |
5,464 |
$12K |
| 99213 |
|
420 |
315 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
14 |
14 |
$1K |
| 99214 |
|
15 |
12 |
$983.50 |
| 92250 |
|
14 |
13 |
$141.96 |
| V2760 |
Scratch resistant coating |
246 |
231 |
$20.90 |