NPI: 1013161645 · SUPERIOR, WI 54880 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 388 | $7K |
| 2019 | 1,182 | $30K |
| 2020 | 1,957 | $39K |
| 2021 | 3,359 | $68K |
| 2022 | 3,496 | $75K |
| 2023 | 2,725 | $65K |
| 2024 | 1,908 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,819 | 2,448 | $97K |
| 92340 | 4,062 | 3,641 | $74K | |
| 92014 | 2,261 | 2,110 | $63K | |
| 92015 | 3,143 | 2,924 | $33K | |
| V2784 | Lens polycarb or equal | 959 | 805 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,193 | 998 | $20K |
| 92341 | 339 | 320 | $9K | |
| 92004 | 89 | 74 | $4K | |
| V2100 | Lens spher single plano 4.00 | 119 | 98 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 12 | $399.00 |
| 92250 | 16 | 12 | $96.00 |