EYE CENTERS OF TENNESSEE, LLC
NPI: 1932224128
· JAMESTOWN, TN 38556
· 156FX1800X
$1.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,271 |
$73K |
| 2019 |
4,795 |
$108K |
| 2020 |
5,203 |
$120K |
| 2021 |
6,789 |
$175K |
| 2022 |
7,286 |
$188K |
| 2023 |
7,249 |
$191K |
| 2024 |
6,626 |
$172K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
6,352 |
6,056 |
$291K |
| V2784 |
Lens polycarb or equal |
6,144 |
3,103 |
$185K |
| 92015 |
|
7,364 |
6,975 |
$130K |
| 92340 |
|
4,256 |
4,096 |
$121K |
| 92004 |
|
1,791 |
1,664 |
$116K |
| V2100 |
Lens spher single plano 4.00 |
5,769 |
2,889 |
$59K |
| V2020 |
Vision svcs frames purchases |
4,049 |
3,911 |
$56K |
| 99213 |
|
2,378 |
2,068 |
$46K |
| 68761 |
|
227 |
140 |
$7K |
| 99212 |
|
535 |
459 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
549 |
307 |
$5K |
| 92083 |
|
156 |
144 |
$2K |
| 92134 |
|
149 |
138 |
$973.88 |
| 99203 |
|
13 |
13 |
$672.21 |
| 99214 |
|
29 |
27 |
$303.16 |
| V2200 |
Lens spher bifoc plano 4.00d |
203 |
179 |
$66.18 |
| 83861 |
|
30 |
14 |
$1.06 |
| 2023F |
|
1,014 |
980 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
24 |
24 |
$0.00 |
| 2022F |
|
187 |
187 |
$0.00 |