NPI: 1134132228 · FARMINGTON, NM 87401 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,588 | $314K |
| 2019 | 6,333 | $218K |
| 2020 | 4,064 | $134K |
| 2021 | 4,399 | $147K |
| 2022 | 4,479 | $158K |
| 2023 | 4,094 | $230K |
| 2024 | 3,376 | $252K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,286 | 4,255 | $454K | |
| 92340 | 8,351 | 8,251 | $304K | |
| 92004 | 2,122 | 2,110 | $271K | |
| V2020 | Vision svcs frames purchases | 7,662 | 7,564 | $210K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 6,487 | 6,428 | $149K |
| 92015 | 6,147 | 6,065 | $43K | |
| V2025 | Eyeglasses delux frames | 128 | 128 | $10K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 56 | 56 | $4K |
| V2100 | Lens spher single plano 4.00 | 50 | 50 | $2K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 19 | 18 | $2K |
| V2106 | Spherocylinder 4.00d/>6.00d | 12 | 12 | $1K |
| 92012 | 13 | 13 | $949.00 |