NPI: 1023340114 · OPELOUSAS, LA 70570 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 140 | $2K |
| 2019 | 195 | $3K |
| 2020 | 1,283 | $30K |
| 2021 | 1,110 | $28K |
| 2022 | 30 | $200.85 |
| 2023 | 50 | $847.30 |
| 2024 | 27 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 956 | 906 | $32K | |
| 92004 | 116 | 114 | $9K | |
| S0580 | Polycarb lens | 243 | 113 | $8K |
| V2020 | Vision svcs frames purchases | 292 | 274 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 299 | 148 | $4K |
| 99211 | 290 | 276 | $4K | |
| 92015 | 406 | 391 | $1K | |
| 99212 | 70 | 54 | $928.15 | |
| 92133 | 34 | 31 | $480.24 | |
| 99214 | 13 | 13 | $313.25 | |
| 99213 | 12 | 12 | $202.75 | |
| 0517F | 14 | 13 | $0.00 | |
| G8756 | No bp measure doc | 46 | 42 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 15 | 15 | $0.00 |
| 1036F | 29 | 15 | $0.00 |