NPI: 1003874991 · PROVIDENCE, RI 02905 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,336 | $120K |
| 2019 | 1,337 | $31K |
| 2020 | 2,728 | $77K |
| 2021 | 4,624 | $136K |
| 2022 | 3,234 | $92K |
| 2023 | 3,272 | $96K |
| 2024 | 2,319 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,031 | 3,856 | $188K |
| 92014 | 4,058 | 3,961 | $166K | |
| 92340 | 5,054 | 4,746 | $86K | |
| V2020 | Vision svcs frames purchases | 5,098 | 4,852 | $82K |
| S0580 | Polycarb lens | 2,807 | 2,638 | $52K |
| 92004 | 295 | 288 | $17K | |
| 99213 | 295 | 288 | $14K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 69 | 68 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 38 | 38 | $3K |
| 92341 | 50 | 50 | $981.52 | |
| 92342 | 43 | 43 | $907.30 | |
| 92250 | 12 | 12 | $397.33 |