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SUCCESS VISION EXPRESS OF TULSA, LLC
SUCCESS VISION EXPRESS OF TULSA, LLC
NPI: 1922280965
· TULSA, OK 74115
· 152W00000X
$3.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
6,656 |
$712K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
7,660 |
7,431 |
$746K |
| 65778 |
|
845 |
543 |
$523K |
| 92082 |
|
11,934 |
11,681 |
$442K |
| 99204 |
|
3,107 |
3,107 |
$433K |
| 92250 |
|
10,208 |
10,206 |
$371K |
| 92014 |
|
1,284 |
1,282 |
$136K |
| 92004 |
|
1,033 |
1,033 |
$131K |
| 92273 |
|
1,266 |
1,265 |
$109K |
| 92015 |
|
6,309 |
6,308 |
$94K |
| 99203 |
|
993 |
993 |
$89K |
| 65855 |
|
266 |
216 |
$47K |
| 92133 |
|
546 |
546 |
$16K |
| 92012 |
|
73 |
71 |
$5K |
| 99213 |
|
69 |
67 |
$4K |
| 76514 |
|
102 |
102 |
$687.24 |
| 92083 |
|
12 |
12 |
$500.33 |
| 92134 |
|
15 |
15 |
$488.59 |
| 99072 |
|
696 |
675 |
$0.00 |