Success Vision Express of Tulsa, LLC
Success Vision Express of Tulsa, LLC was paid $3.15M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoSUCCESS VISION EXPRESS OF TULSA, LLC
TULSA, OK 74115
TULSA, OK 74115
33aNPI1922280965assigned 12/01/2007
33bProvider typeOptometrist
28Total paid$3.15M
24GClaims46,418
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#3 of 336
Median peer was paid$113K
This provider vs. median28×
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 | 4,701 | $267K | |
| 2019 | 5,199 | $287K | |
| 2020 | 5,223 | $273K | |
| 2021 | 7,578 | $386K | |
| 2022 | 6,587 | $381K | |
| 2023 | 10,474 | $843K | |
| 2024incomplete | 6,656 | $712K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 7,660 | 7,431 | $746K |
| 65778 | 17% | 845 | 543 | $523K | |
| 92082 | 14% | 11,934 | 11,681 | $442K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 3,107 | 3,107 | $433K |
| 92250 | 12% | 10,208 | 10,206 | $371K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.3% | 1,284 | 1,282 | $136K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.2% | 1,033 | 1,033 | $131K |
| 92273 | 3.5% | 1,266 | 1,265 | $109K | |
| 92015 | Determination of refractive state | 3.0% | 6,309 | 6,308 | $94K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 993 | 993 | $89K |
| 65855 | 1.5% | 266 | 216 | $47K | |
| 92133 | <1% | 546 | 546 | $16K |
6 more codes
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 officialDAVYDOVA, ROSE (AUTHORIZED OFFICIAL)
Parent organizationSUCCESS VISION EXPRESS
| Provider | Location | Paid |
|---|---|---|
| Success Vision Express of Sand Springs, LLC | Sand Springs, OK | $1.52M |
| Success Vision Eyecare of Cape, LLC | Cape Girardeau, MO | $138K |
| Sve Management of Manhattan, LLC | Manhattan, KS | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.