KEYSTONE EYE CARE GRP, LLC
NPI: 1942306196
· YORK, PA 17403
· 207W00000X
$915K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,561 |
$11K |
| 2019 |
2,032 |
$19K |
| 2020 |
798 |
$28K |
| 2021 |
4,879 |
$191K |
| 2022 |
5,309 |
$220K |
| 2023 |
4,973 |
$278K |
| 2024 |
3,726 |
$168K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
|
473 |
312 |
$218K |
| 92014 |
|
3,610 |
3,488 |
$98K |
| 99214 |
|
1,831 |
1,756 |
$91K |
| 92250 |
|
2,419 |
2,384 |
$79K |
| V2100 |
Lens spher single plano 4.00 |
1,847 |
1,058 |
$68K |
| 92083 |
|
1,396 |
1,342 |
$66K |
| V2020 |
Vision svcs frames purchases |
1,585 |
1,459 |
$51K |
| 76512 |
|
734 |
602 |
$42K |
| 92004 |
|
806 |
794 |
$35K |
| 92134 |
|
1,607 |
1,572 |
$29K |
| 92133 |
|
1,123 |
1,102 |
$28K |
| 99204 |
|
230 |
224 |
$20K |
| 99215 |
Prolong outpt/office vis |
276 |
272 |
$18K |
| 92284 |
|
632 |
619 |
$17K |
| 99213 |
|
440 |
426 |
$15K |
| 92012 |
|
609 |
593 |
$12K |
| 92015 |
|
1,368 |
1,316 |
$7K |
| 99205 |
Prolong outpt/office vis |
56 |
53 |
$6K |
| V2760 |
Scratch resistant coating |
688 |
393 |
$5K |
| V2200 |
Lens spher bifoc plano 4.00d |
75 |
57 |
$4K |
| V2750 |
Anti-reflective coating |
241 |
153 |
$3K |
| V2744 |
Tint photochromatic lens/es |
116 |
68 |
$3K |
| V2025 |
Eyeglasses delux frames |
89 |
89 |
$1K |
| V2781 |
Progressive lens per lens |
45 |
27 |
$915.00 |
| 92020 |
|
38 |
38 |
$576.00 |
| 76514 |
|
38 |
38 |
$328.88 |
| V2784 |
Lens polycarb or equal |
43 |
15 |
$155.00 |
| 83861 |
|
863 |
438 |
$75.89 |