NPI: 1114022175 · SHREVEPORT, LA 71106 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,933 | $144K |
| 2019 | 8,341 | $238K |
| 2020 | 3,273 | $84K |
| 2021 | 1,997 | $56K |
| 2022 | 3,802 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,921 | 2,768 | $204K | |
| 92004 | 1,862 | 1,751 | $157K | |
| V2020 | Vision svcs frames purchases | 5,819 | 5,463 | $82K |
| 99211 | 5,848 | 5,536 | $75K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,670 | 3,422 | $58K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 494 | 445 | $25K |
| V2100 | Lens spher single plano 4.00 | 956 | 909 | $13K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 429 | 390 | $5K |
| V2107 | Spherocylinder 4.25d/12-2d | 158 | 145 | $2K |
| V2784 | Lens polycarb or equal | 63 | 38 | $1K |
| 99213 | 37 | 25 | $1K | |
| 92250 | 16 | 14 | $578.10 | |
| V2780 | Oversize lens/es | 54 | 49 | $7.00 |
| 3072F | 19 | 12 | $0.00 |