NPI: 1104821842 · LITTLE NECK, NY 11362 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,047 | $26K |
| 2019 | 2,220 | $60K |
| 2020 | 2,124 | $59K |
| 2021 | 3,289 | $92K |
| 2022 | 3,996 | $120K |
| 2023 | 1,391 | $38K |
| 2024 | 1,794 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,557 | 2,551 | $117K | |
| 92250 | 1,603 | 1,598 | $61K | |
| 92083 | 1,413 | 1,407 | $55K | |
| V2100 | Lens spher single plano 4.00 | 1,960 | 1,445 | $49K |
| V2020 | Vision svcs frames purchases | 2,542 | 2,514 | $45K |
| 92004 | 753 | 748 | $45K | |
| 92133 | 773 | 764 | $19K | |
| 92132 | 1,047 | 1,045 | $19K | |
| 92226 | 596 | 434 | $8K | |
| 92202 | 676 | 670 | $7K | |
| 92286 | 229 | 229 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 227 | 170 | $4K |
| 92285 | 63 | 62 | $4K | |
| 83861 | 351 | 175 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 54 | 47 | $2K |
| 92340 | 197 | 194 | $2K | |
| 92134 | 97 | 97 | $2K | |
| 92225 | 60 | 38 | $905.02 | |
| 92273 | 13 | 13 | $356.64 | |
| 76514 | 43 | 43 | $302.33 | |
| V2784 | Lens polycarb or equal | 504 | 285 | $285.00 |
| 92145 | 39 | 39 | $133.01 | |
| 92015 | 12 | 12 | $76.00 | |
| 1036F | 25 | 24 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 13 | 12 | $0.00 |
| 2022F | 14 | 14 | $0.00 |