NPI: 1053729152 · SHREVEPORT, LA 71118 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,232 | $60K |
| 2019 | 2,548 | $63K |
| 2020 | 4,603 | $121K |
| 2021 | 9,294 | $251K |
| 2022 | 7,036 | $177K |
| 2023 | 6,284 | $160K |
| 2024 | 5,453 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,042 | 3,787 | $335K | |
| 92014 | 3,467 | 3,260 | $235K | |
| V2020 | Vision svcs frames purchases | 8,082 | 7,063 | $141K |
| V2100 | Lens spher single plano 4.00 | 6,808 | 5,857 | $124K |
| 99211 | 2,899 | 2,826 | $36K | |
| 92340 | 2,282 | 1,972 | $25K | |
| V2200 | Lens spher bifoc plano 4.00d | 631 | 544 | $25K |
| S0620 | Routine ophthalmological exa | 411 | 404 | $17K |
| 92015 | 7,750 | 7,019 | $14K | |
| 99213 | 233 | 215 | $6K | |
| S0621 | Routine ophthalmological exa | 74 | 74 | $3K |
| V2784 | Lens polycarb or equal | 73 | 69 | $1K |
| 92341 | 167 | 149 | $788.50 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 16 | 13 | $354.28 |
| V2111 | Spherocylindr 7.25d/.25-2.25 | 19 | 17 | $281.40 |
| V2750 | Anti-reflective coating | 66 | 59 | $0.00 |
| S0580 | Polycarb lens | 430 | 352 | $0.00 |