NPI: 1033413505 · SYRACUSE, NY 13202 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,922 | $48K |
| 2019 | 2,688 | $72K |
| 2020 | 726 | $18K |
| 2021 | 147 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,651 | 1,635 | $51K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 582 | 450 | $24K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 418 | 320 | $24K |
| 92341 | 1,010 | 1,001 | $20K | |
| 92340 | 1,270 | 1,266 | $19K | |
| V2100 | Lens spher single plano 4.00 | 76 | 54 | $2K |
| S0580 | Polycarb lens | 79 | 78 | $2K |
| V2784 | Lens polycarb or equal | 397 | 196 | $0.00 |