NPI: 1124073770 · WARREN, PA 16365 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 56 | $2K |
| 2021 | 352 | $12K |
| 2022 | 488 | $18K |
| 2023 | 177 | $6K |
| 2024 | 88 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 566 | 561 | $17K |
| V2020 | Vision svcs frames purchases | 231 | 226 | $12K |
| S0620 | Routine ophthalmological exa | 171 | 166 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 102 | 98 | $3K |
| V2025 | Eyeglasses delux frames | 14 | 13 | $1K |
| 99213 | 12 | 12 | $482.40 | |
| 92015 | 53 | 53 | $435.52 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $328.00 |