NPI: 1033276944 · WESLACO, TX 78596 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $176.56 |
| 2019 | 26 | $759.34 |
| 2020 | 101 | $2K |
| 2023 | 2,059 | $62K |
| 2024 | 2,297 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 867 | 861 | $36K |
| S0621 | Routine ophthalmological exa | 517 | 505 | $21K |
| V2020 | Vision svcs frames purchases | 1,225 | 1,199 | $21K |
| V2025 | Eyeglasses delux frames | 302 | 301 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 877 | 870 | $18K |
| V2100 | Lens spher single plano 4.00 | 533 | 511 | $10K |
| V2784 | Lens polycarb or equal | 162 | 157 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $169.32 |