NPI: 1003298506 · HOLDEN, MA 01520 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,959 | $81K |
| 2021 | 5,051 | $143K |
| 2022 | 329 | $7K |
| 2023 | 218 | $4K |
| 2024 | 1,096 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 670 | 636 | $46K | |
| 92015 | 1,564 | 1,423 | $33K | |
| 99213 | 679 | 641 | $32K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 700 | 623 | $31K |
| V2020 | Vision svcs frames purchases | 1,365 | 1,248 | $28K |
| 92340 | 1,240 | 1,141 | $21K | |
| 99204 | 120 | 116 | $13K | |
| 99203 | 150 | 144 | $11K | |
| S0580 | Polycarb lens | 609 | 552 | $10K |
| 92370 | 1,350 | 1,159 | $10K | |
| 92014 | 209 | 191 | $9K | |
| 92250 | 183 | 173 | $5K | |
| 92083 | 134 | 128 | $5K | |
| 92004 | 86 | 78 | $4K | |
| 92133 | 152 | 145 | $4K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 47 | 45 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 25 | 15 | $2K |
| V2303 | Lens sphcy trifocal 4.0/.12- | 21 | 19 | $2K |
| 92202 | 221 | 209 | $2K | |
| V2100 | Lens spher single plano 4.00 | 35 | 25 | $2K |
| 92342 | 56 | 49 | $1K | |
| 92341 | 23 | 15 | $436.04 | |
| 99072 | 14 | 12 | $0.00 |