NPI: 1104800697 · PALATKA, FL 32177 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 595 | $15K |
| 2020 | 542 | $15K |
| 2021 | 1,472 | $34K |
| 2022 | 8,585 | $233K |
| 2023 | 9,533 | $301K |
| 2024 | 7,691 | $263K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,374 | 4,181 | $287K | |
| V2020 | Vision svcs frames purchases | 5,619 | 5,403 | $264K |
| 92004 | 1,569 | 1,495 | $100K | |
| V2100 | Lens spher single plano 4.00 | 1,614 | 1,553 | $88K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,167 | 2,081 | $53K |
| 92340 | 4,991 | 4,807 | $23K | |
| 92015 | 6,160 | 5,897 | $20K | |
| 99214 | 233 | 210 | $11K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 353 | 335 | $5K |
| V2784 | Lens polycarb or equal | 884 | 853 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 72 | 69 | $4K |
| 92310 | 27 | 27 | $645.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $422.10 |
| 92341 | 343 | 320 | $226.00 |