NPI: 1053473512 · NEWBURGH, NY 12550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,700 | $24K |
| 2019 | 2,424 | $34K |
| 2020 | 2,407 | $38K |
| 2021 | 3,129 | $52K |
| 2022 | 1,897 | $35K |
| 2023 | 2,597 | $53K |
| 2024 | 2,796 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,939 | 1,938 | $80K |
| 92004 | 1,327 | 1,311 | $71K | |
| 92014 | 1,472 | 1,466 | $70K | |
| V2020 | Vision svcs frames purchases | 3,824 | 3,773 | $43K |
| V2199 | Lens single vision not oth c | 1,330 | 663 | $25K |
| 92340 | 231 | 222 | $3K | |
| V2784 | Lens polycarb or equal | 4,637 | 2,298 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 86 | 43 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 48 | 24 | $1K |
| V2750 | Anti-reflective coating | 56 | 28 | $0.00 |