NPI: 1114282548 · MOUNT STERLING, IL 62353 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,213 | $33K |
| 2019 | 1,299 | $30K |
| 2020 | 1,687 | $36K |
| 2021 | 1,931 | $46K |
| 2022 | 2,165 | $52K |
| 2023 | 3,630 | $86K |
| 2024 | 2,306 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,453 | 2,275 | $106K | |
| 92004 | 1,338 | 1,228 | $61K | |
| 92015 | 3,962 | 3,647 | $61K | |
| 92340 | 1,457 | 1,328 | $41K | |
| V2020 | Vision svcs frames purchases | 2,177 | 1,965 | $30K |
| V2784 | Lens polycarb or equal | 1,232 | 1,096 | $17K |
| V2100 | Lens spher single plano 4.00 | 686 | 631 | $8K |
| 92341 | 203 | 171 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 557 | 479 | $5K |
| 92250 | 65 | 58 | $2K | |
| 92226 | 60 | 28 | $469.59 | |
| 92012 | 26 | 24 | $441.38 | |
| S9986 | Not medically necessary svc | 15 | 14 | $0.00 |