NPI: 1053667758 · GULFPORT, MS 39507 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,977 | $105K |
| 2019 | 2,593 | $93K |
| 2020 | 1,858 | $58K |
| 2021 | 2,122 | $58K |
| 2022 | 616 | $20K |
| 2024 | 140 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,210 | 1,111 | $81K | |
| V2020 | Vision svcs frames purchases | 2,334 | 2,181 | $77K |
| 92015 | 2,307 | 2,144 | $53K | |
| V2100 | Lens spher single plano 4.00 | 1,358 | 1,306 | $49K |
| 92002 | 532 | 515 | $35K | |
| 92340 | 2,262 | 2,111 | $35K | |
| 92004 | 63 | 60 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 183 | 142 | $4K |
| V2101 | Single visn sphere 4.12-7.00 | 25 | 25 | $943.28 |
| V2784 | Lens polycarb or equal | 32 | 13 | $0.00 |