NPI: 1083901219 · BLAIR, NE 68008 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,364 | $45K |
| 2019 | 1,117 | $37K |
| 2020 | 419 | $15K |
| 2021 | 1,244 | $35K |
| 2022 | 2,078 | $64K |
| 2023 | 5,465 | $170K |
| 2024 | 5,793 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,574 | 4,300 | $278K | |
| V2020 | Vision svcs frames purchases | 3,511 | 3,221 | $85K |
| 92004 | 880 | 835 | $78K | |
| 92015 | 3,278 | 3,141 | $45K | |
| 92250 | 838 | 764 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,000 | 656 | $15K |
| V2756 | Eye glass case | 3,084 | 2,823 | $3K |
| V2100 | Lens spher single plano 4.00 | 212 | 121 | $3K |
| 99214 | 41 | 37 | $2K | |
| 92370 | 62 | 59 | $885.00 |