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NPI 743033381
743033381
743033381 was paid $320K by Medicaid between Jan 2018 and Sep 2018, across 19 billing codes. Its largest line is V2020, Frames, purchases — 29% of everything it billed.
33Billing provider info743033381
33aNPI743033381
33bProvider type—
28Total paid$320K
24GClaims14,148
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2018
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,148 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 29% | 2,092 | 2,046 | $94K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 1,106 | 1,081 | $41K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 977 | 959 | $37K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 1,122 | 1,103 | $34K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.7% | 853 | 839 | $28K |
| 92002 | 6.9% | 591 | 581 | $22K | |
| V2750 | Anti-reflective coating, per lens | 3.6% | 780 | 565 | $12K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 3.2% | 128 | 126 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.1% | 1,008 | 992 | $10K |
| S0500 | Disposable contact lens, per lens | 2.5% | 93 | 89 | $8K |
| V2799 | Vision item or service, miscellaneous | 1.8% | 1,180 | 1,151 | $6K |
| V2744 | Tint, photochromatic, per lens | 1.5% | 221 | 139 | $5K |
7 more codes
| 92310 | 1.3% | 190 | $4K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 96 | $4K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 115 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 93 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,574 | $0.00 |
| 92250 | 0% | 68 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 1,861 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.