NPI: 1083760821 · SAN GERMAN, PR 00683 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,408 | $29K |
| 2019 | 1,194 | $23K |
| 2020 | 913 | $33K |
| 2021 | 1,024 | $31K |
| 2022 | 926 | $29K |
| 2023 | 932 | $33K |
| 2024 | 1,306 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 2,931 | 2,639 | $96K | |
| 92015 | 3,582 | 3,151 | $66K | |
| V2020 | Vision svcs frames purchases | 539 | 486 | $48K |
| 92012 | 316 | 224 | $20K | |
| 92004 | 91 | 89 | $3K | |
| 92100 | 46 | 45 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 36 | 18 | $405.00 |
| 2022F | 114 | 110 | $0.00 | |
| 3072F | 20 | 20 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 28 | 14 | $0.00 |