NPI: 1083770119 · GALLUP, NM 87301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,578 | $160K |
| 2019 | 4,199 | $172K |
| 2020 | 1,819 | $79K |
| 2021 | 1,371 | $63K |
| 2022 | 1,363 | $54K |
| 2023 | 1,399 | $69K |
| 2024 | 83 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,072 | 2,037 | $204K | |
| 92014 | 1,905 | 1,873 | $161K | |
| 92340 | 3,403 | 3,339 | $123K | |
| V2020 | Vision svcs frames purchases | 3,440 | 3,377 | $65K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,793 | 1,782 | $21K |
| V2106 | Spherocylinder 4.00d/>6.00d | 303 | 283 | $15K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 424 | 420 | $7K |
| 92015 | 446 | 419 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 26 | 26 | $325.12 |