NPI: 1154315992 · SPENCER, WV 25276 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,091 | $89K |
| 2019 | 1,212 | $39K |
| 2020 | 1,928 | $98K |
| 2021 | 2,052 | $94K |
| 2022 | 2,134 | $83K |
| 2023 | 311 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,426 | 1,347 | $107K | |
| 92004 | 1,045 | 997 | $88K | |
| 99214 | 1,256 | 1,114 | $66K | |
| 99213 | 1,026 | 913 | $47K | |
| 92015 | 2,923 | 2,780 | $40K | |
| V2020 | Vision svcs frames purchases | 651 | 628 | $37K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 438 | 405 | $16K |
| S0580 | Polycarb lens | 437 | 437 | $14K |
| V2784 | Lens polycarb or equal | 79 | 62 | $1K |
| G8427 | Docrev cur meds by elig clin | 261 | 261 | $366.17 |
| 92250 | 12 | 12 | $250.84 | |
| 5010F | 12 | 12 | $17.92 | |
| 1036F | 98 | 98 | $17.92 | |
| G8397 | Dil macula/fundus exam/w doc | 13 | 13 | $17.92 |
| 4004F | 13 | 13 | $0.00 | |
| G8754 | Dias bp less 90 | 38 | 38 | $0.00 |