HIGH PLAINS VISION CENTER, LLC
NPI: 1922547736
· RAWLINS, WY 82301
· 152W00000X
$399K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
197 |
$12K |
| 2019 |
662 |
$40K |
| 2020 |
755 |
$50K |
| 2021 |
843 |
$54K |
| 2022 |
1,126 |
$71K |
| 2023 |
1,515 |
$94K |
| 2024 |
1,288 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens polycarb or equal |
1,163 |
1,131 |
$95K |
| V2020 |
Vision svcs frames purchases |
1,251 |
1,219 |
$87K |
| 92250 |
|
1,231 |
1,195 |
$73K |
| 92014 |
|
705 |
692 |
$67K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
429 |
414 |
$26K |
| 92004 |
|
211 |
207 |
$25K |
| 92015 |
|
1,383 |
1,345 |
$25K |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$826.80 |