JENNIFER TATE BRASSEAUX, OD, LLC
NPI: 1972735710
· OPELOUSAS, LA 70570
· 152W00000X
$398K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
277 |
$3K |
| 2019 |
1,232 |
$27K |
| 2020 |
2,704 |
$74K |
| 2021 |
3,254 |
$76K |
| 2022 |
2,654 |
$63K |
| 2023 |
3,445 |
$91K |
| 2024 |
2,772 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,325 |
2,103 |
$159K |
| V2020 |
Vision svcs frames purchases |
2,768 |
2,406 |
$51K |
| 92004 |
|
365 |
338 |
$31K |
| 99204 |
|
457 |
405 |
$31K |
| 92015 |
|
4,765 |
4,123 |
$30K |
| 99211 |
|
2,301 |
2,081 |
$27K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,308 |
1,141 |
$24K |
| V2100 |
Lens spher single plano 4.00 |
1,215 |
1,047 |
$22K |
| 99214 |
|
295 |
249 |
$12K |
| 92250 |
|
305 |
236 |
$8K |
| 99212 |
|
125 |
92 |
$3K |
| 99213 |
|
82 |
69 |
$2K |
| S0580 |
Polycarb lens |
13 |
12 |
$0.00 |
| 2022F |
|
14 |
13 |
$0.00 |