NPI: 1104971761 · JOHNSTOWN, PA 15901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 328 | $14K |
| 2021 | 1,934 | $77K |
| 2022 | 2,527 | $96K |
| 2023 | 4,621 | $169K |
| 2024 | 2,154 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,343 | 3,195 | $280K |
| S0621 | Routine ophthalmological exa | 1,627 | 1,558 | $49K |
| 92014 | 875 | 864 | $39K | |
| S0620 | Routine ophthalmological exa | 1,233 | 1,206 | $37K |
| V2784 | Lens polycarb or equal | 300 | 284 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 230 | 221 | $7K |
| 92015 | 3,441 | 3,333 | $5K | |
| 92310 | 143 | 139 | $5K | |
| 92012 | 79 | 50 | $3K | |
| V2100 | Lens spher single plano 4.00 | 99 | 95 | $2K |
| 99213 | 65 | 62 | $2K | |
| 92004 | 29 | 28 | $2K | |
| 92340 | 100 | 48 | $0.00 |