NPI: 1124180781 · JOLIET, IL 60435 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,267 | $46K |
| 2019 | 1,267 | $43K |
| 2020 | 1,840 | $63K |
| 2021 | 1,770 | $57K |
| 2022 | 1,216 | $34K |
| 2023 | 1,641 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,549 | 1,324 | $67K | |
| 92004 | 1,052 | 909 | $47K | |
| 92015 | 2,357 | 2,028 | $39K | |
| 92340 | 1,202 | 1,004 | $36K | |
| V2100 | Lens spher single plano 4.00 | 643 | 535 | $32K |
| 92012 | 496 | 414 | $22K | |
| V2020 | Vision svcs frames purchases | 537 | 526 | $15K |
| V2200 | Lens spher bifoc plano 4.00d | 34 | 28 | $6K |
| 92083 | 155 | 148 | $5K | |
| 92133 | 218 | 208 | $5K | |
| V2784 | Lens polycarb or equal | 269 | 269 | $3K |
| S0621 | Routine ophthalmological exa | 76 | 73 | $3K |
| V2025 | Eyeglasses delux frames | 225 | 161 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 148 | 148 | $2K |
| S0620 | Routine ophthalmological exa | 26 | 25 | $1K |
| S0581 | Nonstnd lens | 14 | 14 | $0.00 |