ALBUQUERQUE VISION CLINIC LLC
NPI: 1770640500
· ALBUQUERQUE, NM 87109
· 152W00000X
$415K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,676 |
$46K |
| 2019 |
2,636 |
$78K |
| 2020 |
981 |
$26K |
| 2021 |
663 |
$13K |
| 2022 |
1,273 |
$44K |
| 2023 |
1,942 |
$89K |
| 2024 |
1,703 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
964 |
956 |
$129K |
| 92014 |
|
1,315 |
1,299 |
$127K |
| 92340 |
|
1,322 |
1,307 |
$30K |
| 92015 |
|
3,806 |
3,769 |
$24K |
| V2020 |
Vision svcs frames purchases |
1,099 |
1,092 |
$21K |
| V2100 |
Lens spher single plano 4.00 |
486 |
480 |
$21K |
| V2784 |
Lens polycarb or equal |
598 |
596 |
$17K |
| 99214 |
|
130 |
122 |
$15K |
| V2025 |
Eyeglasses delux frames |
158 |
158 |
$14K |
| 92250 |
|
225 |
223 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
252 |
250 |
$3K |
| V2797 |
Vis item/svc in other code |
464 |
460 |
$693.76 |
| 99072 |
|
55 |
52 |
$3.89 |