NPI: 1134345838 · ROCHESTER, NY 14642 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,057 | $85K |
| 2019 | 1,895 | $93K |
| 2020 | 1,257 | $58K |
| 2021 | 2,009 | $86K |
| 2022 | 2,144 | $87K |
| 2023 | 3,168 | $101K |
| 2024 | 2,732 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,783 | 5,744 | $264K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,081 | 2,491 | $130K |
| S0580 | Polycarb lens | 3,539 | 2,536 | $55K |
| V2100 | Lens spher single plano 4.00 | 999 | 850 | $48K |
| V2784 | Lens polycarb or equal | 1,092 | 1,001 | $46K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 353 | 303 | $23K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 327 | 244 | $14K |
| V2702 | Deluxe lens feature | 72 | 72 | $4K |
| V2107 | Spherocylinder 4.25d/12-2d | 16 | 12 | $713.88 |