NPI: 1073656641 · WELCH, WV 24801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,208 | $93K |
| 2019 | 3,001 | $142K |
| 2020 | 3,218 | $147K |
| 2021 | 3,383 | $157K |
| 2022 | 2,441 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,082 | 3,058 | $120K |
| 92004 | 2,167 | 2,152 | $119K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,862 | 1,803 | $99K |
| 92014 | 1,794 | 1,782 | $96K | |
| 99214 | 783 | 770 | $59K | |
| 92250 | 700 | 689 | $37K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 453 | 449 | $34K |
| S0580 | Polycarb lens | 600 | 590 | $20K |
| 92015 | 1,108 | 1,079 | $20K | |
| V2100 | Lens spher single plano 4.00 | 490 | 467 | $19K |
| 99203 | 248 | 241 | $16K | |
| 99213 | 286 | 256 | $12K | |
| V2781 | Progressive lens per lens | 27 | 27 | $770.00 |
| V2784 | Lens polycarb or equal | 639 | 639 | $707.00 |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $565.00 |