Supplier
Desloge Vision Center INC
Desloge Vision Center INC was paid $760K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoDESLOGE VISION CENTER INC
DESLOGE, MO 63601
DESLOGE, MO 63601
33aNPI1720128846assigned 02/07/2007
33bProvider typeEyewear Supplier
28Total paid$760K
24GClaims27,649
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Missouri
Rank by total paid#3 of 31
Median peer was paid$22K
This provider vs. median35×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,530 | $28K | |
| 2019 | 1,166 | $23K | |
| 2020 | 3,646 | $76K | |
| 2021 | 5,011 | $97K | |
| 2022 | 5,491 | $149K | |
| 2023 | 6,284 | $237K | |
| 2024incomplete | 4,521 | $151K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 4,790 | 4,671 | $265K |
| V2020 | Frames, purchases | 24% | 5,877 | 5,725 | $184K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 4,893 | 4,112 | $109K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.6% | 3,614 | 3,204 | $66K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.1% | 1,283 | 773 | $46K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.5% | 336 | 335 | $34K |
| 92015 | Determination of refractive state | 3.2% | 5,248 | 5,128 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.0% | 1,274 | 1,207 | $23K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 225 | 203 | $5K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 109 | 104 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSPIKER, MONA (OFFICE MANAGER)