HERO VISION OF MIDWEST CITY PLLC
NPI: 1750928412
· MIDWEST CITY, OK 73110
· 152W00000X
$1.96M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
5,959 |
$226K |
| 2021 |
10,766 |
$370K |
| 2022 |
10,450 |
$355K |
| 2023 |
16,965 |
$569K |
| 2024 |
13,238 |
$437K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
5,756 |
5,756 |
$762K |
| 92014 |
|
3,640 |
3,640 |
$403K |
| 92340 |
|
9,329 |
9,280 |
$284K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
7,868 |
7,821 |
$197K |
| 92015 |
|
9,644 |
9,644 |
$172K |
| V2020 |
Vision svcs frames purchases |
9,380 |
9,333 |
$94K |
| V2100 |
Lens spher single plano 4.00 |
1,449 |
1,442 |
$27K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
652 |
648 |
$14K |
| 99213 |
|
28 |
28 |
$2K |
| 99212 |
|
18 |
18 |
$892.62 |
| V2107 |
Spherocylinder 4.25d/12-2d |
25 |
25 |
$530.10 |
| 99211 |
|
13 |
13 |
$255.58 |
| V2784 |
Lens polycarb or equal |
9,576 |
9,518 |
$0.00 |