SPARTANBURG VISION LLC
NPI: 1760714794
· SPARTANBURG, SC 29307
· Optometrist
· NPI assigned 02/01/2010
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, JEREMY (OPTOMETRIST) |
| NPI Enumeration Date | 02/01/2010 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, JEREMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
785 |
$25K |
| 2019 |
531 |
$16K |
| 2020 |
423 |
$14K |
| 2021 |
472 |
$13K |
| 2022 |
650 |
$16K |
| 2023 |
566 |
$14K |
| 2024 |
300 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
874 |
867 |
$58K |
| 92015 |
Determination of refractive state |
1,836 |
1,823 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
917 |
902 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
100 |
100 |
$8K |