NPI: 1124166517 · RIO GRANDE, PR 00745 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,432 | $32K |
| 2019 | 2,118 | $60K |
| 2020 | 1,221 | $44K |
| 2021 | 1,670 | $63K |
| 2022 | 1,009 | $38K |
| 2023 | 832 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 1,182 | 1,054 | $70K | |
| 92015 | 1,752 | 1,661 | $64K | |
| 92083 | 1,445 | 1,251 | $46K | |
| 92012 | 626 | 484 | $40K | |
| 92250 | 987 | 925 | $28K | |
| 92060 | 669 | 615 | $22K | |
| 92285 | 1,242 | 1,094 | $13K | |
| V2020 | Vision svcs frames purchases | 233 | 229 | $2K |
| V2199 | Lens single vision not oth c | 66 | 32 | $0.00 |
| 92004 | 80 | 78 | $0.00 |