NPI: 1033494786 · RIDGEWOOD, NY 11385 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,526 | $35K |
| 2019 | 4,039 | $49K |
| 2020 | 4,672 | $54K |
| 2021 | 6,702 | $98K |
| 2022 | 7,236 | $136K |
| 2023 | 6,634 | $134K |
| 2024 | 4,436 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 11,058 | 6,779 | $158K |
| 92004 | 4,210 | 4,198 | $145K | |
| 92014 | 3,072 | 3,003 | $142K | |
| V2020 | Vision svcs frames purchases | 8,931 | 8,708 | $82K |
| 99214 | 553 | 543 | $31K | |
| 92340 | 1,272 | 1,264 | $17K | |
| V2784 | Lens polycarb or equal | 4,406 | 2,285 | $12K |
| S0580 | Polycarb lens | 537 | 529 | $9K |
| 92250 | 170 | 170 | $8K | |
| 92015 | 910 | 907 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 868 | 433 | $5K |
| V2200 | Lens spher bifoc plano 4.00d | 101 | 51 | $2K |
| 99213 | 47 | 47 | $1K | |
| S0620 | Routine ophthalmological exa | 13 | 13 | $240.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 12 | $123.24 |
| 3072F | 73 | 70 | $0.00 |