NPI: 1013265636 · PHILADELPHIA, PA 19134 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 591 | $19K |
| 2020 | 5,351 | $166K |
| 2021 | 14,359 | $439K |
| 2022 | 11,656 | $345K |
| 2023 | 18,092 | $447K |
| 2024 | 21,221 | $516K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 30,098 | 11,367 | $804K |
| V2020 | Vision svcs frames purchases | 16,425 | 12,382 | $638K |
| 92014 | 5,074 | 4,908 | $215K | |
| 92004 | 4,437 | 4,292 | $186K | |
| V2784 | Lens polycarb or equal | 10,627 | 4,371 | $29K |
| V2750 | Anti-reflective coating | 1,562 | 670 | $25K |
| V2744 | Tint photochromatic lens/es | 572 | 272 | $15K |
| V2200 | Lens spher bifoc plano 4.00d | 207 | 97 | $7K |
| 92310 | 292 | 270 | $6K | |
| V2755 | Uv lens/es | 1,321 | 479 | $3K |
| V2300 | Lens sphere trifocal 4.00d | 50 | 24 | $2K |
| 92340 | 94 | 94 | $2K | |
| 92250 | 356 | 350 | $0.00 | |
| 92201 | 155 | 134 | $0.00 |