The Vision Clinic of Vicksburg LLC

The Vision Clinic of Vicksburg LLC was paid $78.13 by Medicaid between Jan 2018 and Aug 2021, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 100% of everything it billed.

33Billing provider infoTHE VISION CLINIC OF VICKSBURG LLC
VICKSBURG, MS 39180

33aNPI1871602862assigned 08/30/2006

33bProvider typeEyewear Supplier

28Total paid$78.13

24GClaims360

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Eyewear Supplier providers in Mississippi

Rank by total paid#20 of 20

Median peer was paid$79K

This provider vs. median0.0×

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	88	$78.13
2019	95	$0.00
2020	78	$0.00
2021	99	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	100%	30	14	$78.13
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	211	197	$0.00
1036F		0%	101	92	$0.00
92250		0%	18	12	$0.00

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 officialASHLEY, WILLIAM (OWNER/PRESIDENT)