NPI: 1104045665 · PICAYUNE, MS 39466 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,784 | $142K |
| 2019 | 5,678 | $203K |
| 2020 | 7,639 | $158K |
| 2021 | 8,694 | $227K |
| 2022 | 13,302 | $326K |
| 2023 | 11,651 | $308K |
| 2024 | 10,179 | $323K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,886 | 5,340 | $369K | |
| 99204 | 3,034 | 2,735 | $277K | |
| 99213 | 6,224 | 5,225 | $215K | |
| V2020 | Vision svcs frames purchases | 6,279 | 5,357 | $150K |
| 92015 | 9,745 | 8,649 | $134K | |
| 92250 | 4,975 | 4,396 | $122K | |
| 92285 | 6,369 | 5,537 | $94K | |
| 92340 | 4,015 | 3,391 | $66K | |
| V2101 | Single visn sphere 4.12-7.00 | 1,637 | 1,350 | $50K |
| 92083 | 1,496 | 1,255 | $42K | |
| V2784 | Lens polycarb or equal | 3,719 | 3,080 | $40K |
| 92133 | 1,816 | 1,532 | $30K | |
| V2100 | Lens spher single plano 4.00 | 916 | 805 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 920 | 746 | $19K |
| 83861 | 1,054 | 607 | $13K | |
| V2410 | Lens variab asphericity sing | 303 | 172 | $11K |
| 99211 | 1,100 | 953 | $11K | |
| 92134 | 615 | 543 | $7K | |
| 95930 | 159 | 118 | $4K | |
| 76514 | 366 | 311 | $4K | |
| 92275 | 23 | 17 | $1K | |
| 92020 | 24 | 24 | $801.80 | |
| 92341 | 12 | 12 | $300.00 | |
| 92273 | 13 | 13 | $174.12 | |
| 1036F | 12 | 12 | $3.81 | |
| 4040F | 85 | 72 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 111 | 97 | $0.00 |
| G8483 | Flu imm no admin doc rea | 19 | 13 | $0.00 |