NPI: 1114088820 · NEW CASTLE, PA 16101 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 312 | $15K |
| 2021 | 1,580 | $76K |
| 2022 | 1,770 | $87K |
| 2023 | 2,379 | $122K |
| 2024 | 2,378 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,850 | 2,792 | $188K |
| V2100 | Lens spher single plano 4.00 | 1,060 | 965 | $74K |
| S0621 | Routine ophthalmological exa | 1,797 | 1,783 | $54K |
| 92014 | 1,095 | 1,053 | $46K | |
| 92004 | 628 | 611 | $29K | |
| S0620 | Routine ophthalmological exa | 384 | 378 | $12K |
| 92250 | 153 | 153 | $8K | |
| 92012 | 201 | 201 | $8K | |
| V2500 | Contact lens pmma spherical | 40 | 38 | $3K |
| V2025 | Eyeglasses delux frames | 153 | 149 | $2K |
| 99213 | 58 | 58 | $2K |