SOUTHSIDE EYE CARE PLLC
NPI: 1992794325
· CHESAPEAKE, VA 23321
· 152W00000X
$244K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$578.16 |
| 2019 |
611 |
$18K |
| 2020 |
675 |
$21K |
| 2021 |
1,937 |
$49K |
| 2022 |
2,037 |
$53K |
| 2023 |
1,359 |
$52K |
| 2024 |
1,067 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
2,556 |
2,419 |
$136K |
| 92004 |
|
869 |
848 |
$44K |
| V2020 |
Vision svcs frames purchases |
321 |
318 |
$16K |
| 92015 |
|
2,048 |
1,968 |
$14K |
| 92250 |
|
533 |
497 |
$11K |
| V2100 |
Lens spher single plano 4.00 |
290 |
289 |
$9K |
| 92012 |
|
118 |
96 |
$5K |
| 99213 |
|
71 |
66 |
$3K |
| V2025 |
Eyeglasses delux frames |
54 |
54 |
$3K |
| V2784 |
Lens polycarb or equal |
253 |
252 |
$2K |
| 99199 |
|
589 |
589 |
$0.00 |