NPI: 1144471863 · POTOSI, MO 63664 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 941 | $19K |
| 2019 | 455 | $10K |
| 2020 | 2,540 | $48K |
| 2021 | 3,602 | $68K |
| 2022 | 3,499 | $98K |
| 2023 | 3,835 | $148K |
| 2024 | 2,747 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,183 | 2,135 | $126K | |
| V2020 | Vision svcs frames purchases | 4,034 | 3,982 | $123K |
| 92012 | 2,096 | 2,094 | $101K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,093 | 876 | $32K |
| V2784 | Lens polycarb or equal | 1,299 | 1,192 | $27K |
| 92015 | 4,107 | 4,060 | $20K | |
| V2100 | Lens spher single plano 4.00 | 2,036 | 1,992 | $19K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 309 | 174 | $9K |
| 99213 | 169 | 161 | $6K | |
| 92250 | 234 | 218 | $4K | |
| 92002 | 30 | 30 | $1K | |
| 92004 | 14 | 14 | $709.40 | |
| G8427 | Docrev cur meds by elig clin | 15 | 14 | $0.00 |