NPI: 1053611996 · PAWTUCKET, RI 02860 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,663 | $272K |
| 2019 | 1,631 | $39K |
| 2020 | 5,801 | $165K |
| 2021 | 10,242 | $292K |
| 2022 | 9,047 | $268K |
| 2023 | 8,615 | $268K |
| 2024 | 7,619 | $236K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,962 | 5,813 | $253K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,431 | 5,285 | $236K |
| V2020 | Vision svcs frames purchases | 9,853 | 9,567 | $172K |
| 92340 | 7,665 | 7,461 | $133K | |
| 92015 | 5,412 | 5,240 | $124K | |
| 92004 | 2,157 | 2,090 | $121K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,650 | 1,611 | $108K |
| S0580 | Polycarb lens | 5,287 | 5,145 | $93K |
| 99213 | 1,956 | 1,703 | $90K | |
| 92250 | 2,120 | 2,048 | $68K | |
| V2100 | Lens spher single plano 4.00 | 1,604 | 1,563 | $62K |
| 92341 | 2,011 | 1,962 | $39K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 751 | 733 | $30K |
| 92370 | 595 | 571 | $4K | |
| V2107 | Spherocylinder 4.25d/12-2d | 81 | 79 | $4K |
| 99214 | 14 | 14 | $895.49 | |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $692.99 |
| 92083 | 16 | 12 | $523.38 | |
| V2784 | Lens polycarb or equal | 29 | 27 | $491.44 |
| 92012 | 12 | 12 | $273.53 |